INDIVIDUAL SELF-INSURED EMPLOYER INFORMATION Forms
| Form Name | INDIVIDUAL SELF-INSURED EMPLOYER INFORMATION | 
| Form # | WC-131 | 
| Form Revision | (04-24) | 
| Category | Forms » Insurance | 
| Downloads | |
| Form State | Missouri | 
| Language | English | 
| State Description | Current contact information to be submitted by self-insured employers on an annual basis and as needed. | 
| Claimwire Description | n/a | 
