Form WC-MD-05 Request for Dismissal of Application for Payment of Additional Reimbursement of Medical Fees - Missouri

Form WC-MD-05 Request for Dismissal of Application for Payment of Additional Reimbursement of Medical Fees - Missouri

What Is Form WC-MD-05?

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 WC-MD-05?A: WC-MD-05 is a form used in Missouri to request the dismissal of an application for payment of additional reimbursement of medical fees in workers' compensation cases.

Q: When is WC-MD-05 used?A: WC-MD-05 is used when a party wants to dismiss their application for additional reimbursement of medical fees in a workers' compensation case in Missouri.

Q: How do I use WC-MD-05?A: To use WC-MD-05, you need to fill out the form with the required information, including the case number, parties involved, and the reason for dismissal. Then, file the form with the appropriate court or administrative agency.

Q: Is there a fee to file WC-MD-05?A: The filing fee for WC-MD-05 may vary depending on the court or administrative agency where you file it. Contact the relevant court or agency to inquire about the filing fee.

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Form Details:

  • Released on January 1, 2014;
  • 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-MD-05 by clicking the link below or browse more documents and templates provided by the Missouri Department of Labor and Industrial Relations.

Download Form WC-MD-05 Request for Dismissal of Application for Payment of Additional Reimbursement of Medical Fees - Missouri

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