MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS DIVISION OF WORKERS’ COMPENSATION CHART NO. 1 PERMANENT PARTIAL DISABILITY SCHEDULE Visual Chart Showing Number of Weeks of Compensation Payable for Permanent Partial Disabilities under the MISSOURI WORKERS’ COMPENSATION LAW. When there is complete loss of a member – either by severance or loss of use – the number of weeks indicated on this chart for such member(s) is increased by ten (10) percent. LEG FOOT ARM Complete Loss of Sight in One Eye – 140 Complete Deafness Both Ears – 180 (Occupational) – 180 One Ear – 49 (Occupational) – 49 HAND ENTIRE PERSON WC-110 (06-11) AI American LegalNet, Inc. www.FormsWorkFlow.com Effective Date Temp. Total 287.170 Max. Perm. Partial 287.190 Max. Perm. Total 287.200 Death 287.240 Max. 7/1/1998 To 6/30/1999 105% SAWW $562.67 55% SAWW $294.73 105% SAWW $562.67 7/1/1999 To 6/30/2000 105% SAWW $578.48 55% SAWW $303.01 105% SAWW $578.48 7/1/2000 To 6/30/2001 105% SAWW $599.96 55% SAWW $314.26 105% SAWW $599.96 7/1/2001 To 6/30/2002 105% SAWW $628.90 55% SAWW $329.42 105% SAWW $628.90 7/1/2002 To 6/30/2003 105% SAWW $649.32 55% SAWW $340.12 105% SAWW $649.32 7/1/2003 To 6/30/2004 105% SAWW $662.55 55% SAWW $347.05 105% SAWW $662.55 7/1/2004 To 6/30/2005 105% SAWW $675.90 55% SAWW $354.05 105% SAWW $675.90 7/1/2005 To 6/30/2006 105% SAWW $696.97 55% SAWW $365.08 105% SAWW $696.97 7/1/2006 To 6/30/2007 105% SAWW $718.87 55% SAWW $376.55 105% SAWW $718.87 7/1/2007 to 6/30/2008 105% SAWW $742.72 55% SAWW $389.04 105% SAWW $742.72 7/1/2008 To 6/30/2009 105% SAWW $772.53 55% SAWW $404.66 105% SAWW $772.53 7/1/2009 To 6/30/2010 105% SAWW $807.48 55% SAWW $422.97 105% SAWW $807.48 7/1/2010 To 6/30/2011 105% SAWW $799.11 55% SAWW $418.58 105% SAWW $799.11 7/1/2011 To 6/30/2012 105% SAWW $811.73 55% SAWW $425.19 105% SAWW $811.73 DOCKET/VENUE LIST MISSOURI DIVISION OF WORKERS’ COMPENSATION CAPE GIRARDEAU OFFICE 573-290-5757 Bloomfield Docket Stoddard County Cape Girardeau Docket Bollinger, Cape Girardeau, Perry Counties Caruthersville Docket Dunklin, Pemiscot Counties Festus Docket Jefferson County Farmington Docket St. Francois, St. Genevieve Counties Ironton Docket Iron, Madison, Reynolds, Washington Counties New Madrid Docket New Madrid County Poplar Bluff Docket Butler, Carter, Ripley, Wayne Counties Sikeston Docket Mississippi, Scott Counties JEFFERSON CITY OFFICE 573-751-4231 Boonville Docket Cooper, Howard Counties Camdenton Docket Camden, Hickory, Morgan Counties Columbia Docket Boone County Eldon Docket (currently held in Jefferson City) Miller County Fulton Docket (currently held in Jefferson City) Callaway County Hannibal Docket Clark, Lewis, Marion, Pike, Ralls Counties Hermann Docket Gasconade County Jefferson City Docket Cole, Maries, Moniteau, Osage Counties Kirksville Docket Adair, Knox, Putnam, Schuyler, Scotland, Sullivan Counties Macon Docket Linn, Macon, Shelby Counties Marshall Docket Saline County Mexico Docket Audrain, Montgomery Counties Moberly Docket Chariton, Monroe, Randolph Counties Rolla Docket Crawford, Dent, Phelps Counties Sedalia Docket Benton, Pettis Counties Names in bold are cities where dockets are held. Cases docketed at those locations are from the counties listed under the docket locations. Burial Benefit $5,000.00 Minimum Rate $40.00 per week Disfigurement Max. 40 weeks Mileage Reimbursement Rate 7/1/11 to 6/30/12 - 48.0 cents per mile JOPLIN OFFICE 417-629-3032 Joplin Docket Jasper Counties Lamar Docket Barton, Cedar, Dade, Vernon Counties Monett Docket Barry, Lawrence Counties Neosho Docket McDonald, Newton Counties KANSAS CITY OFFICE 816-889-2481 Clinton Docket Bates, Henry, Johnson, St. Clair Counties Kansas City Docket Cass, Jackson Counties Lexington Docket Lafayette, Ray Counties Liberty Docket Clay County SPRINGFIELD OFFICE 417-888-4100 Branson Docket Stone, Taney Counties Lebanon Docket Laclede, Pulaski, Wright Counties Springfield Docket Christian, Dallas, Greene, Polk, Webster Counties West Plains Docket Douglas, Howell, Oregon, Ozark, Shannon, Texas Counties ST. CHARLES OFFICE 636-940-3326 St. Charles Docket St. Charles County Union/Washington Docket Franklin County Warrenton Docket (currently held in St. Charles) Lincoln, Warren Counties ST. JOSEPH OFFICE 816-387-2275 Bethany Docket Daviess, Harrison Counties Chillicothe Docket Caldwell, Carroll, Livingston Counties Maryville Docket Atchison, Gentry, Holt, Nodaway, Worth Counties Platte Docket Platte County St. Joseph Docket Andrew, Buchanan, Clinton, DeKalb Counties Trenton Docket Grundy, Mercer Counties ST. LOUIS OFFICE 314-340-6865 St. Louis Docket City of St. Louis, St. Louis County www.labor.mo.gov/DWC WC-110-2 (06-11) AI American LegalNet, Inc. www.FormsWorkFlow.com