Missouri · Workers' Compensation
Missouri workers' compensation forms
Every Missouri workers' comp form BlueHive has verified against the issuing agency. Download PDFs we host, or jump directly to the official source for the rest.
- Forms tracked
- 2
- PDFs hosted
- 0
- State
- MO
Filing workers’ comp forms in Missouri
Operational notes BlueHive coordinators rely on. For statute-level detail, see the compliance overview linked below.
- 1
Provider completes the state’s first-report and progress forms after each authorized visit.
- 2
Forms are filed with the state workers’ compensation board or the claims administrator named on the claim.
- 3
Most states require submission within 5–10 business days; check the form footer for the exact deadline.
- 4
Keep the signed PDF in the patient chart and route a copy to the adjuster and employer.
Missouri forms at a glance
Quick reference for who completes each form and where it goes. Tap a form code for full detail.
| Form | Who fills out | Who signs | Where it goes | |
|---|---|---|---|---|
| WC-9Medical Treatment Form | Treating physician of record | Authorized treating physician. | At initial treatment, at completion, and upon Division request | Open |
| WC-241Eye Injuries with Permanent Disability | Treating physician of record | Authorized treating physician. | At initial treatment, at completion, and upon Division request | Open |
All Missouri workers' comp forms
2 forms tracked. PDFs we host are downloadable; the rest deep-link to the issuing agency.
- Workers’ Comp Verified
WC-9 — Medical Treatment Form
Missouri Division of Workers' Compensation
Medical Treatment Form (WC-9) — state-prescribed clinician report used by the state workers’ comp agency.
View form Official source - Workers’ Comp Verified
WC-241 — Eye Injuries with Permanent Disability
Missouri Division of Workers' Compensation
Eye Injuries with Permanent Disability (WC-241) — state-prescribed clinician report used by the state workers’ comp agency.
View form Official source
Federal forms that also apply in Missouri
Federal forms providers in Missouri encounter alongside the state workers’ comp paperwork. Same data we publish on the federal pages.
- USCG MarinerCG-719K
Application for Merchant Mariner Medical Certificate
U.S. Coast Guard – National Maritime Center
View form - DOT / FMCSAMCSA-5875
Medical Examination Report Form (DOT)
Federal Motor Carrier Safety Administration (FMCSA)
View form - OSHA & SafetyOSHA 300
Log of Work-Related Injuries and Illnesses
Occupational Safety and Health Administration (OSHA)
View form
More states with forms
Bordering Missouri with forms
Important Legal Notice
The regulatory information presented on BlueHive Compliance Watch is provided for general informational purposes only and should not be construed as legal advice. While we strive to maintain accurate and up-to-date information, regulations can change rapidly and may be subject to interpretation.
You should always:
- Consult with qualified legal counsel before making compliance decisions
- Verify information with official government sources
- Review the full text of any regulation cited herein
- Consider jurisdiction-specific requirements that may apply to your organization
BlueHive Health, LLC makes no warranties or representations about the accuracy, completeness, or timeliness of this information. We are not responsible for any actions taken or not taken based on this content.
Coordinating workers' comp visits in Missouri?
BlueHive verifies the right form for the panel, schedules the visit with an authorized provider, and returns the signed PDF to the adjuster — without phone tag.