Get the free WC-259 - Missouri Department of Labor - MO.gov - labor mo

MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS DIVISION OF WORKERS COMPENSATIONNOTICE OF EMPLOYERS ELECTION TO BECOME A MEMBER OF A GROUP INSURANCE POOL* PURSUANT TO 287.200.4(3)(a), RSMo3315

How to fill out wc-259 - missouri department

How to fill out wc-259 - missouri department

1. Obtain wc-259 form from the Missouri Department of Labor website or by contacting the department directly.
2. Read the instructions on the form carefully to understand the information required.
3. Fill out the employee information section, including the employee's name, address, social security number, and date of birth.
4. Provide details about the injury or illness that occurred at work, including the date and time of the incident.
5. Describe the nature of the injury or illness, including any body parts affected.
6. Include information about the healthcare provider that treated the employee, such as the provider's name, address, and phone number.
7. Indicate whether the employee missed work due to the injury or illness and provide the dates of absence.
8. Sign and date the form, certifying that the information provided is accurate and complete.
9. Submit the completed wc-259 form to the Missouri Department of Labor according to the instructions provided.

Who needs wc-259 - missouri department?

1. Employers in the state of Missouri are required to fill out the wc-259 form for any employee who suffers an injury or illness that is work-related.

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What is wc-259 - missouri department?

The wc-259 form is a document used by the Missouri Department of Labor to report workers' compensation claims information.

Who is required to file wc-259 - missouri department?

Employers in Missouri who have employees that are covered by workers' compensation insurance are required to file the wc-259 form.

How to fill out wc-259 - missouri department?

The wc-259 form can be filled out online on the Missouri Department of Labor website or submitted through the mail. It requires information about the employer, employee, and details of the workers' compensation claim.

What is the purpose of wc-259 - missouri department?

The purpose of the wc-259 form is to collect and track data on workers' compensation claims in Missouri for regulatory and statistical purposes.

What information must be reported on wc-259 - missouri department?

The wc-259 form requires information such as the employer's name and address, the employee's name and social security number, details of the injury or illness, and the date of the incident.