Payment Report Forms


Form NamePayment Report
Form #MWCC Form B-18
Form Revision(Revised 7-96)
CategoryForms » Financial/Compensation
Downloads
Form StateMississippi
LanguageEnglish
State DescriptionThis form is used to report the initial payment to the claimant, any supplemental agreement, and any suspension of payments. The B-18 form is a combination of and replaces the earlier forms B-15, B-16
Claimwire Descriptionn/a
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