Form WC-81 Application for Authority to Self-insure - Missouri

Form WC-81 Application for Authority to Self-insure - Missouri

What Is Form WC-81?

This is a legal form that was released by the Missouri Department of Labor and Industrial Relations - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WC-81?
A: Form WC-81 is the Application for Authority to Self-insure in Missouri.

Q: What is self-insurance?
A: Self-insurance is a system where an employer assumes the financial responsibility for providing workers' compensation benefits to their employees.

Q: Who should use Form WC-81?
A: Employers in Missouri who wish to self-insure their workers' compensation benefits should use Form WC-81.

Q: What information is required on Form WC-81?
A: Form WC-81 requires information about the employer, their financial status, proposed self-insurance plan, and more.

Q: Are there any fees associated with Form WC-81?
A: Yes, there is a fee required when submitting Form WC-81. The fee amount may change, so it's best to check with the Missouri Division of Workers' Compensation for the current fee.

Q: How do I submit Form WC-81?
A: Form WC-81 should be submitted to the Missouri Division of Workers' Compensation along with the required fee and any supporting documentation.

Q: What happens after submitting Form WC-81?
A: After submitting Form WC-81, the Missouri Division of Workers' Compensation will review the application and determine if the employer is eligible for self-insurance.

Q: How long does it take to process Form WC-81?
A: The processing time for Form WC-81 can vary, but it typically takes several months for the Missouri Division of Workers' Compensation to review and make a decision on the application.

Q: Can I appeal if my application for self-insurance is denied?
A: Yes, if your application for self-insurance is denied, you have the right to appeal the decision through the appropriate channels in the Missouri workers' compensation system.

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Form Details:

  • Released on April 1, 2012;
  • The latest edition provided by the Missouri Department of Labor and Industrial Relations;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WC-81 by clicking the link below or browse more documents and templates provided by the Missouri Department of Labor and Industrial Relations.

Download Form WC-81 Application for Authority to Self-insure - Missouri

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