APPLICATION FOR AUTHORITY TO SELF-INSURE Forms
| Form Name | APPLICATION FOR AUTHORITY TO SELF-INSURE |
| Form # | WC-81 |
| Form Revision | (01-23) |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Missouri |
| Language | English |
| State Description | The application to be completed by an employer applying to individually self-insure. |
| Claimwire Description | n/a |