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MISSISSIPPI WORKERS COMPENSATION COMMISSION P. O. Box 5300 JACKSON, MISSISSIPPI 39296 MWC File No. APPLICATION FOR LUMP SUM PAYMENT Miss. Code Ann. 71337(10) (Rev. 2000) 1. Name of injured employee
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How to fill out mississippi workers compensation commission

01
Gather all necessary information and documents, such as medical records, accident reports, and witness statements.
02
Download the appropriate forms from the Mississippi Workers Compensation Commission website.
03
Fill out the forms accurately and completely, providing all required information.
04
Attach any supporting documents or evidence that may be needed to support your claim.
05
Double-check all information for accuracy and completeness.
06
Submit the completed forms and documents to the Mississippi Workers Compensation Commission by mail or in person.
07
Keep copies of all submitted forms and documents for your own records.
08
Follow up with the commission to ensure that your claim is being processed and to address any additional requirements or inquiries they may have.
09
Consult with an attorney specializing in workers compensation if you are unsure about any aspect of the process.

Who needs mississippi workers compensation commission?

01
Employees who have suffered work-related injuries or illnesses in Mississippi.
02
Employers who have employees working in Mississippi and want to comply with the state's workers compensation laws.
03
Insurance companies, attorneys, and other stakeholders involved in workers compensation cases in Mississippi.
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The Mississippi Workers' Compensation Commission is a state agency responsible for overseeing and enforcing workers' compensation laws in Mississippi.
All employers in Mississippi are required to file with the Mississippi Workers' Compensation Commission.
The Mississippi Workers' Compensation Commission provides forms and instructions on their website for employers to fill out and submit.
The purpose of the Mississippi Workers' Compensation Commission is to ensure that employees who are injured on the job receive the appropriate benefits and that employers comply with workers' compensation laws.
Employers must report information such as employee injuries, medical treatments, and benefits payments on the Mississippi Workers' Compensation Commission forms.
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2003 2000 MISSISSIPPI SSN MWCC III Yr SUBSCRIBED applicant thru Notary APPLICANTS II Revised

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