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The following individual or organization is authorized to make the disclosure In the editing mode, you can easily complete the template with your details for submission. Find all of the missouri workers' compensation forms & resources you need to file a claim.

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Claimant authorization to disclose.this government document is issued by labor standards, division for use in missouri I authorize the use or disclosure of my workers' compensation records that are described below in paragraphs three and five Missouri law section 287.420 requires that you give written notice of the time, place and manner of the injury within 30 days

The name and address of the injured person must also be included

There are some exceptions to this rule You may wish to consult an attorney.