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Form WC-84 - Missouri Department of Labor and Industrial Relations

Form WC-84 - Missouri Department of Labor and Industrial Relations 2025

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The document is a Self-Insurer’s Payroll Report from the Missouri Department of Labor and Industrial Relations, specifically for the Division of Workers’ Compensation. It requires information about the self-insured entity's name, address, nature of business, locations of operations in Missouri, number of employees at each location, and payroll classifications. The report aims to collect data necessary for compliance with workers' compensation regulations.

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What is a work certificate in Missouri?

A certificate from a physician that has personally examined the child stating that the child is in good mental and physical health and is capable of performing labor without injury to his health and mental development.

Who is exempt from workers compensation insurance in Missouri?

The Workers Compensation Act does exempt a very small and very specific group of employees, which includes farm laborers, domestic servants, certain real estate agents and direct sellers and commercial motor-carrier owner-operators. Please refer to Section 287.090 RSMo for additional information.

How does Missouri Workmans Comp work?

Benefits through workers compensation include medical care, lost wages and survivor benefits. When you begin receiving your benefits depends on the type of benefits that you are entitled to. Medical Benefits: You can expect to start receiving medical benefits immediately after you file your claim.

Do you get paid 100% on workers comp?

For Open Claims In that case, you may qualify for time-loss compensation due to the fact that youre temporarily unable to return to work. Typically, the workers comp system in most states offers 66% of your wages. Depending on the state, you may receive your salary benefits weekly, bi-weekly, or once a month.

How many employees are required for workers comp in Missouri?

Missouri employers with 5 or more employees are required to have workers compensation insurance or qualify as a self-insured. Construction industry employers are required to have workers compensation insurance coverage if they have one or more employees.

How much does workers comp pay in Missouri?

Workers compensation generally does not pay for pain and suffering.

Form WC-84 - Missouri Department of Labor and Industrial Relations 2025

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How to edit Form WC-84 - Missouri Department of Labor and Industrial Relations in PDF format online

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Got questions?

What is a work certificate in Missouri?

Who is exempt from workers compensation insurance in Missouri?

How does Missouri Workmans Comp work?

Do you get paid 100% on workers comp?

How many employees are required for workers comp in Missouri?

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How much does workers comp pay in Missouri?

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Form WC-84 - Missouri Department of Labor and Industrial Relations 2025

Here's how it works

How to edit Form WC-84 - Missouri Department of Labor and Industrial Relations in PDF format online

Complete this form in 5 minutes or less

Got questions?

What is a work certificate in Missouri?

Who is exempt from workers compensation insurance in Missouri?

How does Missouri Workmans Comp work?

Do you get paid 100% on workers comp?

How many employees are required for workers comp in Missouri?

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People also ask

How much does workers comp pay in Missouri?

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