Chart 1-Permanent Partial Disability Schedule {WC-110} | Pdf Fpdf Docx | Missouri

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Chart 1-Permanent Partial Disability Schedule {WC-110} | Pdf Fpdf Docx | Missouri

Chart 1-Permanent Partial Disability Schedule {WC-110}

This is a Missouri form that can be used for Workers Comp.

Alternate TextLast updated: 6/14/2018

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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 223Body as a Whole224 injuries are governed by 287.190.3 RSMo. permanent partial Disability 221010101088884014 1414143035454560353522303020262616Thumb1st Finger2nd Finger3rd Finger4th FingerMetacarpalCarpal Phalanges 1st2nd3rd4th5th3rd or Distal2nd or Distal1st or Proximal1st or Proximal2nd400Body as a Whole Hand Foot 175200222232210 110150155160207One Ear - 49Complete Loss of SightOne Eye - 140Both Ears - 180Complete Deafness 175Weeks150WeeksWC-110 (03-18) AIMissouri Division of Workers220 Compensation is an equal opportunity employer/program.Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966Relay Missouri: 711 American LegalNet, Inc. www.FormsWorkFlow.com JOPLIN OFFICE002003004005006007b005tnt007Joplin DocketJasper CountyLamar Docket (held in Joplin)Barton, Cedar, Dade, Vernon CountiesNeosho Docket (held in Joplin)McDonald, Newton Counties KANSAS CITY OFFICE013003006005013013b005007002013003Clinton Docket (held in Kansas City)Bates, Henry, Johnson, St. Clair CountiesKansas City DocketCass, Clay, Jackson, Platte CountiesLexington DocketLafayette, Ray CountiesTrenton Docket (held in Kansas City)Grundy, Mercer CountiesMarshall DocketSaline CountySedalia DocketBenton, Pettis Counties SPRINGFIELD OFFICE002003004005013013013005002003nnBranson West DocketBarry, Stone, Taney CountiesSpringfield DocketChristian, Dallas, Greene, Lawrence, Polk, Webster CountiesWest Plains DocketDouglas, Howell, Oregon, Ozark, Shannon, Texas Counties ST. JOSEPH OFFICE013003006005t013004005007007004fBethany DocketDaviess, Harrison CountiesChillicothe DocketCaldwell, Carroll, Livingston CountiesMaryville DocketAtchison, Gentry, Holt, Nodaway, Worth CountiesSt. Joseph DocketAndrew, Buchanan, Clinton, DeKalb CountiesDOCKET/VENUE LIST MISSOURI DIVISION OF WORKERS220 COMPENSATIONBurial Benefit $5,000.00Minimum Rate $40.00 per weekDisfigurement Max. 40 weeksMileage Reimbursement Rate 7-1-17 to 6-30-18 205 50.5 cents per mileWC-110-2 (03-18) AINames in bold are cities where dockets are held. Cases docketed at those locations are from the counties listed under the docket locations. E002ective DateTemp. Total287.170Max.Perm. Partial287.190Max.Perm. Total287.200Death287.240Max.7-1-2004to6-30-2005105%SAWW$675.9055%SAWW$354.05105%SAWW$675.907-1-2005to6-30-2006105%SAWW$696.9755%SAWW$365.08105%SAWW$696.977-1-2006to6-30-2007105%SAWW$718.8755%SAWW$376.55105%SAWW$718.877-1-2007to6-30-2008105%SAWW$742.7255%SAWW$389.04105%SAWW$742.727-1-2008to6-30-2009105%SAWW$772.5355%SAWW$404.66105%SAWW$772.537-1-2009to6-30-2010105%SAWW$807.4855%SAWW$422.97105%SAWW$807.487-1-2010to6-30-2011105%SAWW$799.1155%SAWW$418.58105%SAWW$799.117-1-2011to6-30-2012105%SAWW$811.7355%SAWW$425.19105%SAWW$811.737-1-2012to6-30-2013105%SAWW$827.7555%SAWW$433.58105%SAWW$827.757-1-2013to6-30-2014105%SAWW$853.0855%SAWW$446.85105%SAWW$853.087-1-2014to6-30-2015105%SAWW$861.0455%SAWW$451.02105%SAWW$861.047-1-2015to6-30-2016105%SAWW$886.9255%SAWW$464.58105%SAWW$886.927-1-2016to6-30-2017105%SAWW$911.2755%SAWW$477.33105%SAWW$911.277-1-2017to6-30-2018105%SAWW$923.0155%SAWW$483.48105%SAWW$923.01 www.labor.mo.gov/DWC573-751-4231 JEFFERSON CITY OFFICEf004t005004f003005002007t003Boonville Docket (held in Columbia)Cooper, Howard CountiesCamdenton DocketCamden, Hickory, Morgan CountiesColumbia DocketBoone CountyEldon Docket (held in Jefferson City)Miller CountyFulton Docket (held in Jefferson City)Callaway CountyHermann DocketGasconade CountyJefferson City DocketCole, Maries, Moniteau, Osage CountiesKirksville DocketAdair, Knox, Putnam, Schuyler, Scotland, Sullivan CountiesLebanon DocketLaclede, Pulaski, Wright CountiesMacon DocketLinn, Macon, Shelby CountiesMexico Docket (held in Columbia)Audrain, Montgomery CountiesMoberly Docket (held in Columbia)Chariton, Randolph Counties ST. LOUIS OFFICEt003002005t002n005006013006fFestus Docket (held in St. Louis)Jefferson CountyHannibal DocketClark, Lewis, Marion, Monroe, Pike, Ralls CountiesSt. Charles DocketSt. Charles CountySt. Louis DocketCity of St. Louis, St. Louis CountyUnion/Washington DocketFranklin CountyWarrenton Docket (held in St. Charles)Lincoln, Warren Counties CAPE GIRARDEAU OFFICEf004t005007bn005f004f004Bloomfield DocketStoddard CountyCape Girardeau DocketBollinger, Cape Girardeau, Perry CountiesCaruthersville DocketDunklin, Pemiscot CountiesFarmington DocketSt. Francois, Ste. Genevieve CountiesIronton DocketIron, Madison, Reynolds, Washington CountiesNew Madrid DocketNew Madrid CountyPoplar Bluff DocketButler, Carter, Ripley, Wayne CountiesRolla DocketCrawford, Dent, Phelps CountiesSikeston DocketMississippi, Scott Counties American LegalNet, Inc. www.FormsWorkFlow.com

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