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 25 State Forms found

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2020 Workers' Compensation Trust Self-Insurance Annual Reporting

 WC-135 11-20

AFFIDAVIT OF EXEMPTION FOR WORKERS' COMPENSATION INSURANCE PURSUANT TO 287.061, RSMo

 WC-134 (01-18)

AFFIDAVIT OF ZERO REPORTING - COMMERCIAL INSURERS ONLY

 WC-240 (12-22)

APPLICATION FOR AUTHORITY TO SELF-INSURE

 WC-81 (01-23)

APPLICATION FOR GROUP SELF-INSURANCE

 WC-81A (01-23)

INDIVIDUAL SELF-INSURANCE APPLICATION CHECKLIST

 WC-128 (04-24)

INDIVIDUAL SELF-INSURED EMPLOYER INFORMATION

 WC-131 (04-24)

IRREVOCABLE LETTER OF CREDIT

 WC-249 (04-12)

PROPOSED RATES FOR WORKERS' COMPENSATION INSURANCE GROUP TRUST SELF-INSURANCE

 WC-127 (12-19)

SELF-INSURANCE BY-LAWS (Sample)

 WC-238 (11-07)

Self-Insurer’s Annual Financial Statement

 WC-85 (01-23)

SELF-INSURER'S STATEMENT OF OUTSTANDING LOSSES

 WC-83 (09-11)

SENDER'S TRADING PARTNER PROFILE LIST OF INSURERS - EDI

 WC-EDI-260 (01-23)

STATEMENT OF SPECIFIC AND AGGREGATE EXCESS INSURANCE COVERAGE

 WC-121 (01-23)

APPLICATION FOR ANNUAL CERTIFICATION Safety Engineering & Management Program

 WSP-45 (01-19)
Disclaimer: These forms may not be the most recent version. Missouri may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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