Get Notice Of Commencement/termination Of Compensation (wc-2)pdf ... - Labor Mo

Filling out the Notice Of Commencement/Termination Of Compensation (WC-2)PDF is crucial for ensuring accurate reporting of compensation benefits related to workplace injuries. This guide provides clear, step-by-step instructions tailored to users of all experience levels, making the process straightforward and manageable.

Follow the steps to accurately complete your form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Enter the injury number in the designated field. Input one digit of the Division assigned injury number in each box. This information is essential for tracking the claim.
3. In Box 1A, enter the last four digits of the employee's Social Security Number. This should be done securely to maintain confidentiality.
4. Input the date of the accident in Box 2, formatted as mm/dd/yy. This date is important as it determines the maximum rate of compensation that will be displayed automatically in Box 6B.
5. In Box 5, enter the employee’s Average Weekly Wage (AWW). The compensation rate will be calculated automatically and displayed in Box 6C.
6. Review Box 6, specifically Box 6A. If the injured employee should be receiving the State determined maximum compensation amount based on the AWW entered in Box 5, ensure that the indicator switches to 'Y'. Otherwise, it will toggle to 'N'.
7. Specify the type of lost time in Box 8. Enter 'TTD' for Temporary Total Disability or 'TPD' for Temporary Partial Disability, depending on the circumstances.
8. Input the start date of the disability in Box 9, formatted as mm/dd/yy, which indicates when the employee is entitled to disability benefits.
9. In Box 10, enter the end date for disability benefits, following the same date format as above.
10. Box 11 will automatically calculate and display the total weeks of compensation based on the entered date ranges.
11. Enter the amount of Temporary Total Disability benefits paid to date in Box 12. This amount will be automatically calculated.
12. In Box 13, manually enter the amount of Temporary Partial Disability benefits paid to the injured employee, as this is not automatically calculated.
13. Provide any information regarding statutory penalties in Boxes 15 and 16, entering either a dollar amount or percentage, but not both.
14. If benefits are being paid to a dependent, complete Box 26 with the dependent's name, address, relationship, and the dollar amount.
15. Review all entered information for accuracy. Once completed, save your changes, then choose to download, print, or share the form as needed.

Complete your documents online to ensure timely reporting and accurate benefit calculation.