Missouri Injury Report Form
Description
How to fill out Injury Report Form?
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FAQ
Workers' compensation is a state-mandated, "no-fault" insurance system that pays benefits to workers injured on the job to cover medical care, part of lost wages and permanent disability. In return, employers receive immunity from civil lawsuits by employees over such workplace injuries.
Rather, the lost wages benefits you receive under workers' compensation in Missouri equal two-thirds of your average weekly wage, up to a maximum of 55% of the state average weekly wage. This figure is based on your gross income (the amount you earn before tax) during the 13 weeks leading up to your injury.
Call the Division at 800-775-2667.
Report Your Injury immediately to your employer or supervisor. Failure to report your injury to your employer within 30 days may jeopardize your ability to receive workers' compensation benefits.
The average weekly wage is based on your gross wages (your pay before taxes and other deductions). The benefits are calculated at 66 2/3% of the employee's average weekly earnings as of the date of the injury, not to exceed a maximum amount set by the law.
Nature of Injury or Illness identifies the principal physical characteristic(s) of the work related injury or illness.
Under the Missouri workers' compensation system, you can only claim medical and disability benefits. Workers' compensation generally does not pay for pain and suffering.
In general, it takes about six months from the date of injury to settle a workers' comp case. Missouri has two different ways to settle a workers' comp case. The first is through mediation, and the second is through arbitration.