This is a legal form that was released by the South Dakota Department of Labor & Regulation - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is SD Form 0809 (DLR-LM-111)?
A: SD Form 0809 (DLR-LM-111) is a Memorandum of Payment for Permanent Partial Disability in South Dakota.
Q: What is the purpose of SD Form 0809 (DLR-LM-111)?
A: The purpose of SD Form 0809 (DLR-LM-111) is to document payment for permanent partial disability in South Dakota.
Q: Who is responsible for completing SD Form 0809 (DLR-LM-111)?
A: The employer or their insurance carrier is responsible for completing SD Form 0809 (DLR-LM-111).
Form Details:
Download a fillable version of SD Form 0809 (DLR-LM-111) by clicking the link below or browse more documents and templates provided by the South Dakota Department of Labor & Regulation.