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MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS DIVISION OF WORKERS COMPENSATION INSTRUCTIONS FOR COMPLETING CLAIM FOR COMPENSATION 3315 West Truman Blvd., P.O. Box 58 Jefferson City, MO 651020058

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What is claim for compensation wc-21pdf?

Claim for compensation wc-21pdf is a form used to request compensation for work-related injuries or illnesses.

Who is required to file claim for compensation wc-21pdf?

Employees who have suffered a work-related injury or illness are required to file claim for compensation wc-21pdf.

How to fill out claim for compensation wc-21pdf?

The claim for compensation wc-21pdf should be completed with all relevant information about the injury or illness, including details about how it occurred and any medical treatment received.

What is the purpose of claim for compensation wc-21pdf?

The purpose of claim for compensation wc-21pdf is to ensure that employees receive the proper compensation for work-related injuries or illnesses.

What information must be reported on claim for compensation wc-21pdf?

The claim for compensation wc-21pdf must include information about the injury or illness, medical treatment received, and details about how it occurred.

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