AUTHORIZATION TO RELEASE INFORMATION AND INSTRUCTIONS Forms
| Form Name | AUTHORIZATION TO RELEASE INFORMATION AND INSTRUCTIONS |
| Form # | WC-126 |
| Form Revision | (03/23) |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Missouri |
| Language | English |
| State Description | This form allows a job applicant to grant a prospective employer access to the job applicant’s workers’ compensation record in Missouri. |
| Claimwire Description | n/a |