Form WCLoD-1A Claim for Compensation for Line of Duty Compensation Benefits (When the Worker's Death Occurred Before August 28, 2017) - Missouri

What Is Form WCLoD-1A?

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-1A?
A: Form WCLoD-1A is a form used to claim compensation for Line of Duty Compensation benefits in Missouri when the worker's death occurred before August 28, 2017.

Q: What are Line of Duty Compensation benefits?
A: Line of Duty Compensation benefits are monetary benefits provided to the dependents of workers who died as a result of a work-related injury or illness.

Q: Who can use Form WCLoD-1A?
A: Form WCLoD-1A can be used by the dependents of a worker who died before August 28, 2017, as a result of a work-related injury or illness in Missouri.

Q: What information is required on Form WCLoD-1A?
A: Form WCLoD-1A requires information about the deceased worker, the dependents, the accident or injury that caused the death, and any related medical treatment or expenses.

Q: What is the deadline for submitting Form WCLoD-1A?
A: The deadline for submitting Form WCLoD-1A is generally within two years from the date of the worker's death.

Q: Are there any fees associated with filing Form WCLoD-1A?
A: No, there are no fees associated with filing Form WCLoD-1A in Missouri.

Q: What happens after submitting Form WCLoD-1A?
A: After submitting Form WCLoD-1A, the Missouri Division of Workers' Compensation will review the claim and make a determination on eligibility and the amount of compensation.

Q: Can I appeal if my claim is denied?
A: Yes, if your claim is denied, you have the right to appeal the decision through the Missouri Division of Workers' Compensation.