This form is a sample personal injury complaint alleging defendant's negligence in operating a nail gun resulted in injury to plaintiff.
Missouri Complaint regarding Nail Gun Injury
State:
Multi-State
Control #:
US-PI-0298
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Complaint Regarding Nail Gun Injury?
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FAQ
Who is Covered by Workers' Compensation? Any employer with five or more employees, and all employers in the construction industry, are required to provide protection for their employees under the Missouri Workers' Compensation Law. Most employers do this by purchasing workers' compensation insurance.
What Is the Statute of Limitations on Workers Comp Claims? A formal workers' compensation claim must be filed within two years of the injury or death. Injured workers must report their injury or illness to their employers within 30 days after the incident or 30 days after they are informed of their diagnosis.
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.
Within two years after the date of the injury or death or, last payment was made on account of the injury or death; or. If the employer does not timely file a Report of Injury with the Division, within three years from the date of injury, or death, or last payment was made on account of the injury or death.
If someone believes they are not being paid correctly, they can contact the Division of Labor Standards at 573-751-3403, or email their concern to minimumwage@labor.mo.gov . To start an investigation, the employee will need to complete the Minimum Wage Complaint Form.
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.
Self-reports may be submitted via e-mail to hospitalcomplaints@health.mo.gov, or by phone to the Complaint Hotline 24 hours a day at 1- (800) 392-0210.
You may contact OSHA directly at the Kansas City office at 816-483-9531 or the St. Louis office at 314-425-4249.
