SD Form 0809 (DLR-LM-111) Memorandum of Payment for Permanent Partial Disability - South Dakota

SD Form 0809 (DLR-LM-111) Memorandum of Payment for Permanent Partial Disability - South Dakota

What Is SD Form 0809 (DLR-LM-111)?

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.

FAQ

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).

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Form Details:

  • Released on February 6, 2017;
  • The latest edition provided by the South Dakota Department of Labor & Regulation;
  • 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 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.

Download SD Form 0809 (DLR-LM-111) Memorandum of Payment for Permanent Partial Disability - South Dakota

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