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Form WCLoD-1C Claim for Compensation for Line of Duty Compensation Benefits (When Worker's Death Occured on or After August 28, 2018) - Missouri
What Is Form WCLoD-1C?
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-1C?A: Form WCLoD-1C is the Claim for Compensation for Line of Duty Compensation Benefits specifically for cases where a worker's death occurred on or after August 28, 2018 in the state of Missouri.
Q: What is Line of Duty Compensation Benefits?A: Line of Duty Compensation Benefits are benefits provided to the dependents of a worker whose death was the result of an injury or illness incurred while performing their job duties.
Q: Who can file Form WCLoD-1C?A: Form WCLoD-1C can be filed by the dependents of a worker who died on or after August 28, 2018, due to a job-related injury or illness.
Q: What is the purpose of Form WCLoD-1C?A: The purpose of Form WCLoD-1C is to initiate a claim for Line of Duty Compensation Benefits for the dependents of a worker who died as a result of a job-related injury or illness.
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-1C by clicking the link below or browse more documents and templates provided by the Missouri Department of Labor and Industrial Relations.
Download Form WCLoD-1C Claim for Compensation for Line of Duty Compensation Benefits (When Worker's Death Occured on or After August 28, 2018) - Missouri
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