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Form WCLoD-1B Claim for Compensation for Line of Duty Compensation Benefits (When the Worker's Death Occurred on or After August 28, 2017, and Before August 28, 2018) - Missouri
What Is Form WCLoD-1B?
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 WCLoD-1B?
A: Form WCLoD-1B is a claim for compensation for Line of Duty Compensation Benefits in Missouri for workers who died between August 28, 2017, and August 28, 2018.
Q: Who is eligible to file Form WCLoD-1B?
A: Eligible individuals include the dependents or legal representatives of workers who died on or after August 28, 2017, and before August 28, 2018.
Q: How do I submit Form WCLoD-1B?
A: Form WCLoD-1B must be completed and submitted to the Missouri Division of Workers' Compensation.
Q: What benefits are covered under Line of Duty Compensation?
A: Line of Duty Compensation benefits provide financial assistance to the dependents or legal representatives of workers who died due to an injury or disease related to their work.
Q: Are there any time limitations for filing Form WCLoD-1B?
A: Yes, Form WCLoD-1B must be filed within one year from the date of the worker's death.
Q: What supporting documents are required when filing Form WCLoD-1B?
A: Supporting documents may include death certificates, medical records, and any other relevant documentation that proves the worker's death was work-related.
Q: Is there a fee associated with filing Form WCLoD-1B?
A: No, there is no fee required to file Form WCLoD-1B.
Q: Is legal representation necessary when filing Form WCLoD-1B?
A: While legal representation is not required, it may be beneficial to consult with an attorney who specializes in workers' compensation claims.
Q: How long does it take to receive benefits after filing Form WCLoD-1B?
A: The processing time for Line of Duty Compensation benefits may vary, but it typically takes several weeks to receive a determination.
Form Details:
- Released on November 1, 2018;
- 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 WCLoD-1B by clicking the link below or browse more documents and templates provided by the Missouri Department of Labor and Industrial Relations.
Download Form WCLoD-1B Claim for Compensation for Line of Duty Compensation Benefits (When the Worker's Death Occurred on or After August 28, 2017, and Before August 28, 2018) - Missouri
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