Free 110-AI.qxp - Missouri

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) per cent.

Complete Loss of Sight in One Eye ­ 140 Complete Deafness Both Ears ­ 180 (Occupational) ­ 180 One Ear ­ 49 (Occupational) ­ 49

LEG

FOOT

ARM

HAND

ENTIRE PERSON
WC-110 (07-09) AI

Effective Date 7/1/1996 To 6/30/1997 7/1/1997 To 6/30/1998 7/1/1998 To 6/30/1999 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 7/1/2005 To 6/30/2006 7/1/2006 To 6/30/2007 7/1/2007 to 6/30/2008 7/1/2008 To 6/30/2009 7/1/2009 To 6/30/2010

Temp. Total 287.170 Max. 105% SAWW $513.01 105% SAWW $531.52 105% SAWW $562.67 105% SAWW $578.48 105% SAWW $599.96 105% SAWW $628.90 105% SAWW $649.32 105% SAWW $662.55 105% SAWW $675.90 105% SAWW $696.97 105% SAWW $718.87 105% SAWW $742.72 105% SAWW $772.53 105% SAWW $807.48

Perm. Partial 287.190 Max. 55% SAWW $268.72 55% SAWW $278.42 55% SAWW $294.73 55% SAWW $303.01 55% SAWW $314.26 55% SAWW $329.42 55% SAWW $340.12 55% SAWW $347.05 55% SAWW $354.05 55% SAWW $365.08 55% SAWW $376.55 55% SAWW $389.04 55% SAWW $404.66 55% SAWW $422.97

Perm. Total 287.200 Death 287.240. Max. 105% SAWW $513.01 105% SAWW $531.52 105% SAWW $562.67 105% SAWW $578.48 105% SAWW $599.96 105% SAWW $628.90 105% SAWW $649.32 105% SAWW $662.55 105% SAWW $675.90 105% SAWW $696.97 105% SAWW $718.87 105% SAWW $742.72 105% SAWW $772.53 105% SAWW $807.48

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 Crystal City 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 County Moberly Docket Chariton, Monroe, Randolph Counties Sedalia Docket Benton, Pettis Counties Warrenton Docket Lincoln, Montgomery, Warren Counties Rolla Docket Crawford, Dent, Phelps Counties JOPLIN OFFICE (417) 629-3032 Monett Docket Barry, Lawrence Counties Joplin Docket Jasper Counties Neosho Docket McDonald, Newton Counties Lamar Docket Barton, Cedar, Dade, Vernon Counties KANSAS CITY OFFICE (816) 889-2481 Clinton Docket Bates, Henry, Johnson, St. Clair Counties Kansas City Docket Cass, Jackson, Southern Platte Counties Lexington Docket Lafayette & Ray Counties Liberty Docket Clay County (Partial) SPRINGFIELD OFFICE (417) 888-4100 Branson Docket Douglas, Ozark, Stone, Taney Counties Lebanon Docket Laclede, Pulaski, Wright Counties Springfield Docket Christian, Dallas, Greene, Polk, Webster Counties West Plains Docket Howell, Oregon, Shannon, Texas Counties ST. CHARLES OFFICE (636) 940-3326 St. Charles Docket St. Charles County Union/Washington Docket Franklin County ST. JOSEPH OFFICE (816) 387-2275 Bethany Docket Daviess, Harrison Counties Chillicothe Docket Caldwell, Carroll, Livingston Counties Gladstone Docket (old Liberty docket) Clay County (Partial) Maryville Docket Atchison, Gentry, Holt, Nodaway, Worth Counties St. Joseph Docket Andrew, Buchanan, Clinton, DeKalb, Northern Platte Counties Trenton Docket Grundy, Mercer Counties ST. LOUIS OFFICE (314) 340-6865 St. Louis Docket City of St. Louis, St. Louis County

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 7/1/09 to 6/30/10 - 50.0 cents per mile www.labor.mo.gov/wc
WC-110-2 (07-09) AI