SELF-INSURER'S REPORT OF COMPENSATION PAYMENTS Forms
| Form Name | SELF-INSURER'S REPORT OF COMPENSATION PAYMENTS | 
| Form # | WC-86 | 
| Form Revision | (04-12) | 
| Category | Forms » Financial/Compensation | 
| Downloads | |
| Form State | Missouri | 
| Language | English | 
| State Description | An annual report of an individually self-insured employer’s Missouri compensation payments for the prior calendar year. | 
| Claimwire Description | n/a | 
