Missouri Claim for Compensation for Workers' Compensation

State:
Missouri
Control #:
MO-21-WC
Format:
PDF
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Description

This is one of the official workers' compensation forms for the the state of Missouri


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FAQ

Missouri's work comp statute of limitations is two years. The statute of limitations begins at the time your work-related injury occurred. If your employer fails to promptly report your injury to the division, the statute of limitations can be extended one more year.

The updated or current version of the Claim for Compensation form WC-21 may be downloaded from the Division's website www.labor.mo.gov/pubs-and-forms. You may also request the Division to mail you the Claim forms by calling the toll free number 800-775-2667 or by calling one of the local offices.

1Report your injury to your employer.2Visit your doctor.3Get a 'Certificate of Capacity' from your doctor.4Request a workers' compensation claim form.5Complete and submit your claim form.

After you report your injury or illness, you'll usually have to file a workers' comp claim with the state workers' comp agency (although your employer may take care of this step in some states). The deadlines for filing claims are typically in the range of one to three years after the injury.

Workers' compensation statute of limitations: In the state of California, the statute of limitations for filing a claim or an appeal is usually one year from the date of the injury or illness.

Workers' comp pays for three main types of benefits: medical treatment, temporary wage replacement while you're off work, and compensation for any remaining permanent impairment or disfigurement.

If you've been injured as a result of your work, you should be able to collect workers compensation benefits.Your employer or its workers' comp insurance company does not have to agree to settle your claim, and you do not have to agree with a settlement offer proposed by your employer or its insurance company.

How Long Does an Employer Have to Report an Accident? As with an employee notifying the employer of an accident, the employer should act as soon as possible in notifying the state's workers comp board.The minimum charge is typically $100, but missed or late reporting can result in a $2,500 fine in California.

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Missouri Claim for Compensation for Workers' Compensation