Missouri > Workers Comp
Chart 1-Permanent Partial Disability Schedule WC-110 - Missouri
| Chart 1-Permanent Partial Disability Schedule Form. This is a Missouri form and can be used in Workers Comp . |
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permanent partial Disability Visual chart showing number of weeks of compensation payable for scheduled and non-scheduled permanent partial disabilities. Scheduled disabilities are governed by 287.190.1 RSMo. Non-scheduled or "Body as a Whole" injuries are governed by 287.190.3 RSMo. Complete Loss of Sight One Eye - 140 Complete Deafness Both Ears - 180 One Ear - 49 2nd Finger 1st Finger 26 3rd or Distal 30 30 35 1st or Proximal 30 3rd Finger 26 2nd 4th Finger 16 Thumb 35 45 45 35 22 20 232 2nd or Distal Phalanges 222 Body as a Whole 400 1st or Proximal 60 Metacarpal 2nd 1st 3rd 4th 5th 210 200 Carpal 175 Weeks Hand 175 8 207 22 8 10 8 10 8 10 14 14 10 40 14 14 160 155 150 150 110 WC-110 (10-12) AI American LegalNet, Inc. www.FormsWorkFlow.com Foot Weeks Effective Date Temp. Total 287.170 Max. 105% SAWW $578.48 105% SAWW $599.96 105% SAWW $628.90 105% SAWW $649.32 105% SAWW $662.55 105% SAWW $675.90 105% SAWW $696.97 105% SAWW $718.87 105% SAWW $742.72 105% SAWW $772.53 105% SAWW $807.48 105% SAWW $799.11 105% SAWW $811.73 105% SAWW $827.75 Perm. Partial 287.190 Max. 55% SAWW $303.01 55% SAWW $314.26 55% SAWW $329.42 55% SAWW $340.12 55% SAWW $347.05 55% SAWW $354.05 55% SAWW $365.08 55% SAWW $376.55 55% SAWW $389.04 55% SAWW $404.66 55% SAWW $422.97 55% SAWW $418.58 55% SAWW $425.19 55% SAWW $433.58 Perm. Total 287.200 Death 287.240 Max. 105% SAWW $578.48 105% SAWW $599.96 105% SAWW $628.90 105% SAWW $649.32 105% SAWW $662.55 105% SAWW $675.90 105% SAWW $696.97 105% SAWW $718.87 105% SAWW $742.72 105% SAWW $772.53 105% SAWW $807.48 105% SAWW $799.11 105% SAWW $811.73 105% SAWW $827.75 Docket/Venue List Missouri DiVision of Workers' coMpensation CAPE GIRARDEAU OFFICE 573-290-5757 Bloomfield Docket Stoddard County KANSAS CITY OFFICE 816-889-2481 Clinton Docket 7/1/1999 to 6/30/2000 7/1/2000 to 6/30/2001 7/1/2001 to 6/30/2002 7/1/2002 to 6/30/2003 7/1/2003 to 6/30/2004 7/1/2004 to 6/30/2005 7/1/2005 to 6/30/2006 7/1/2006 to 6/30/2007 7/1/2007 to 6/30/2008 7/1/2008 to 6/30/2009 7/1/2009 to 6/30/2010 7/1/2010 to 6/30/2011 7/1/2011 to 6/30/2012 7/1/2012 to 6/30/2013 Cape Girardeau Docket Caruthersville Docket Festus Docket Jefferson County Dunklin, Pemiscot Counties Bollinger, Cape Girardeau, Perry Counties Kansas City Docket Lexington Docket Liberty Docket Clay County Bates, Henry, Johnson, St. Clair Counties Cass, Jackson Counties Lafayette, Ray Counties Farmington Docket Ironton Docket St. Francois, St. Genevieve Counties Iron, Madison, Reynolds, Washington Counties New Madrid County SPRINGFIELD OFFICE New Madrid Docket Poplar Bluff Docket Sikeston Docket 417-888-4100 Branson Docket Lebanon Docket Stone, Taney Counties Laclede, Pulaski, Wright Counties Christian, Dallas, Greene, Polk, Webster Counties Douglas, Howell, Oregon, Ozark, Shannon, Texas Counties Butler, Carter, Ripley, Wayne Counties Mississippi, Scott Counties Springfield Docket West Plains Docket JEFFERSON CITY OFFICE 573-751-4231 Boonville Docket ST. CHARLES OFFICE Camdenton Docket Columbia Docket Boone County Miller County Cooper, Howard Counties Camden, Hickory, Morgan Counties 636-940-3326 St. Charles Docket St. Charles County Franklin County Union/Washington Docket Warrenton Docket (Currently held in St. Charles) Lincoln, Warren Counties Eldon Docket (Currently held in Jefferson City) Fulton Docket (Currently held in Jefferson City) Hannibal Docket Callaway County Clark, Lewis, Marion, Pike, Ralls Counties Gasconade County ST. JOSEPH OFFICE 816-387-2275 Bethany Docket Hermann Docket Chillicothe Docket Maryville Docket Platte Docket Platte County Daviess, Harrison Counties Caldwell, Carroll, Livingston Counties Atchison, Gentry, Holt, Nodaway, Worth Counties Jefferson City Docket Kirksville Docket Macon Docket Saline County Cole, Maries, Moniteau, Osage Counties Adair, Knox, Putnam, Schuyler, Scotland, Sullivan Counties Marshall Docket Mexico Docket Linn, Macon, Shelby Counties St. Joseph Docket Trenton Docket Andrew, Buchanan, Clinton, DeKalb Counties Grundy, Mercer Counties Moberly Docket Rolla Docket Audrain, Montgomery Counties Chariton, Monroe, Randolph Counties Crawford, Dent, Phelps Counties Benton, Pettis Counties ST. LOUIS OFFICE 314-340-6865 St. Louis Docket City of St. Louis, St. Louis County Sedalia Docket Names in bold are cities where dockets are held. Cases docketed at those locations are from the counties listed under the docket locations. JOPLIN OFFICE 417-629-3032 Joplin Docket Lamar Docket Jasper County Monett Docket Barton, Cedar, Dade, Vernon Counties Barry, Lawrence Counties McDonald, Newton Counties Burial Benefit $5,000.00 Minimum Rate $40.00 per week Disfigurement Max. 40 weeks Mileage Reimbursement Rate 7/1/12 to 6/30/13 - 52.5 cents per mile Neosho Docket www.labor.mo.gov/DWC 573-751-4231 American LegalNet, Inc. www.FormsWorkFlow.com WC-110-2 (10-12) AI
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