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Chart 1-Permanent Partial Disability Schedule Form. This is a Missouri form and can be use in Workers Comp.
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Tags: Chart 1-Permanent Partial Disability Schedule, WC-110, Missouri Workers Comp,
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 278.190.3 RSMo.
2nd Finger
Complete Deafness
Both Ears - 180
One Ear - 49
Complete Loss of Sight
One Eye - 140
1st Finger
3rd Finger
26
3rd or Distal
30
26
4th Finger
30
2nd
35
16
30
1st or Proximal
Thumb
2nd or Distal
232
20
35
45
45
Phalanges
35
22
222
Body as a Whole
400
210
1st or Proximal
60
Metacarpal
2nd
3rd
4th
1st
5th
Carpal
200
Hand
175
Weeks
175
8
207
22
8
10
8
10
10
40
14
14
8
10
14
14
160
155
Foot
150
150
Weeks
110
WC-110 (07-12) AI
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Effective
Date
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
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
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
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
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
7/1/2007
to
6/30/2008
105%
SAWW
$742.72
55%
SAWW
$389.04
7/1/2008
to
6/30/2009
105%
SAWW
$772.53
55%
SAWW
$404.66
Stoddard County
KANSAS CITY OFFICE
816-889-2481
Clinton Docket
Bates, Henry, Johnson, St. Clair Counties
Cape Girardeau Docket
Kansas City Docket
Caruthersville Docket
Lexington Docket
Festus Docket
Liberty Docket
Bollinger, Cape Girardeau, Perry Counties
Dunklin, Pemiscot Counties
Jefferson County
Farmington Docket
St. Francois, St. Genevieve Counties
Cass, Jackson Counties
Lafayette, Ray Counties
Clay County
SPRINGFIELD OFFICE
Iron, Madison, Reynolds, Washington Counties
417-888-4100
Branson Docket
New Madrid County
Lebanon Docket
Butler, Carter, Ripley, Wayne Counties
Springfield Docket
Mississippi, Scott Counties
West Plains Docket
Ironton Docket
New Madrid Docket
Poplar Bluff Docket
Sikeston Docket
JEFFERSON CITY OFFICE
573-751-4231
Boonville Docket
Cooper, Howard Counties
Camdenton Docket
Stone, Taney Counties
Laclede, Pulaski, Wright Counties
Christian, Dallas, Greene, Polk, Webster Counties
Douglas, Howell, Oregon, Ozark, Shannon, Texas Counties
ST. CHARLES OFFICE
636-940-3326
St. Charles Docket
St. Charles County
Camden, Hickory, Morgan Counties
Union/Washington Docket
Boone County
Warrenton Docket (Currently held in St. Charles)
Columbia Docket
Eldon Docket (Currently held in Jefferson City)
Miller County
Fulton Docket (Currently held in Jefferson City)
Franklin County
Lincoln, Warren Counties
ST. JOSEPH OFFICE
105%
SAWW
$718.87
Hermann Docket
Chillicothe Docket
Jefferson City Docket
Maryville Docket
105%
SAWW
$742.72
Kirksville Docket
Platte Docket
Macon Docket
St. Joseph Docket
105%
SAWW
$772.53
Marshall Docket
Trenton Docket
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
55%
SAWW
$433.58
573-290-5757
Bloomfield Docket
816-387-2275
Bethany Docket
105%
SAWW
$807.48
105%
SAWW
$827.75
CAPE GIRARDEAU OFFICE
Hannibal Docket
7/1/2009
to
6/30/2010
7/1/2012
to
6/30/2013
Docket/Venue List Missouri Division of Workers’ Compensation
105%
SAWW
$827.75
Callaway County
Clark, Lewis, Marion, Pike, Ralls Counties
Gasconade County
Cole, Maries, Moniteau, Osage Counties
Adair, Knox, Putnam, Schuyler, Scotland, Sullivan Counties
Linn, Macon, Shelby Counties
Saline County
Mexico Docket
Audrain, Montgomery Counties
Moberly Docket
Chariton, Monroe, Randolph Counties
Rolla Docket
Crawford, Dent, Phelps Counties
Daviess, Harrison Counties
Caldwell, Carroll, Livingston Counties
Atchison, Gentry, Holt, Nodaway, Worth Counties
Platte County
Andrew, Buchanan, Clinton, DeKalb Counties
Grundy, Mercer 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
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
Benton, Pettis Counties
417-629-3032
Joplin Docket
Jasper County
Lamar Docket
Barton, Cedar, Dade, Vernon Counties
Monett Docket
Barry, Lawrence Counties
Neosho Docket
McDonald, Newton Counties
www.labor.mo.gov/DWC
573-751-4231
WC-110-2 (07-12) AI
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