Form WC-126 Authorization to Release Information - Missouri

Form WC-126 Authorization to Release Information - Missouri

What Is Form WC-126?

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-126?
A: Form WC-126 is the Authorization to Release Information form used in Missouri.

Q: What is the purpose of Form WC-126?
A: The purpose of Form WC-126 is to authorize the release of information related to a workers' compensation claim.

Q: Who needs to fill out Form WC-126?
A: The injured worker or their authorized representative needs to fill out Form WC-126.

Q: What information is required on Form WC-126?
A: Form WC-126 requires the injured worker's name, address, date of birth, and social security number.

Q: Is there a fee for submitting Form WC-126?
A: No, there is no fee for submitting Form WC-126.

Q: How long does it take to process Form WC-126?
A: The processing time for Form WC-126 may vary, but it typically takes a few weeks.

Q: Can I authorize someone else to receive my workers' compensation information?
A: Yes, you can authorize someone else to receive your workers' compensation information by filling out Form WC-126.

Q: What should I do if I have questions about Form WC-126?
A: If you have questions about Form WC-126, you should contact the Missouri Division of Workers' Compensation for assistance.

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Form Details:

  • Released on March 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-126 by clicking the link below or browse more documents and templates provided by the Missouri Department of Labor and Industrial Relations.

Download Form WC-126 Authorization to Release Information - Missouri

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