Workers' Compensation Division

Official Website: https://labor.mo.gov/dwc

Forms & Documents

Browse all Workers' Compensation Division government forms

21 - 40 of 216 forms

Form Title Topics
2022 Department of Labor Annual Report
2022 Division of Workers' Compensation Annual Report
2023 Department of Labor Annual Report
2023 Division of Workers' Compensation Annual Report
Administrative and Support and Waste Management and Remediation Services Data Sheet (LS-76)
Affidavit Compliance with the Prevailing Wage Law (PW-4-MODOT)
Affidavit of Compliance with Prevailing Wage Law (PW-4)
Affidavit of Zero Reporting - Commercial Insurers Only (WC-240)
Annual Certification Renewal - Safety Consultant/Safety Engineer (WSP-11)
Annual Mining Report (LS-113)
Answer to Application for Direct Payment (WC-199)
Answer to Application for Payment of Additional Reimbursement of Medical Fees (WC-198)
Answer to Claim For Compensation (WC-22)
Answer to Claim for Compensation (WC-22-A)
Appeals Rights and Procedures (WC-116)
Application for Administrative Ruling (WC-214)
Application for Certification - Safety Consultant/Safety Engineer (WSP-10)
Application for Certification (WSP-45)
Application for Direct Payment (WC-MD-01)
Application for Employment (MODOL-2396)

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