A form for an reporting an injured worked that may qualify as a serious injury

 

A request by an employer or insurer for an award on undisputed facts in regard to application for payment of additional reimbursement of medical fees on the ground that the Application was not filed within the limitation period set forth in §287.140.4, RSMo, or that the charges were paid in full or any ground that negates liability for payment.

 

Request to DWC for a pre-hearing regarding workers compensation claim.

 

This brochure is to inform employers who are or want to be self-insured for workers' compensation liability through trusts (a way employers that are usually within the same industry or members of the same association can pool their liabilities with other employers).

 

Proof of initial, renewal, or changes to specific and aggregate Missouri only excess insurance coverage.

 

A brochure outlining the benefits provided by the Missouri Workers’ Compensation Law in the event of a compensable fatal accident or fatal occupational disease.

 

A report to be completed annually by a self-insured group trust.

 

A form to verify rehabilitation treatment

 

A form to gather additional information to determine eligibility for physical rehabilitation benefits.

 

Roles and responsibilities for Employers and Employees; required in workplace.