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Publications and Forms

Work Certificate (during school months)

Certificate to employ a child age 14 or 15 during school months.

Work Certificate (full-time - summer)

Certificate to employ a child age 14 or 15 during summer months.

Work Search Record (MODES-4736)

Use this form to keep a list of all the employers and labor unions you contact each week while claiming unemployment insurance benefits.

Worker Relationship Questionnaire - Long Form (MODES-4389-LF)

The Worker Relationship Questionnaire is completed by a business and/or worker regarding the details of the worker's Missouri services performed. Or fill out Short Form.

Worker Relationship Questionnaire - Short Form (MODES-4389-SF)

The Worker Relationship Questionnaire is completed by a business and/or worker regarding the details of the worker's Missouri services performed. Or fill out Long Form.

Workers' Compensation (WC-106 Letter)

Roles and responsibilities for Employers and Employees; required in workplace.

Workers' Compensation (WC-106 Tabloid)

Roles and responsibilities for Employers and Employees; required in workplace.

Workers' Compensation Requirements For the Missouri Construction Industry (WC-259)

A guide as to when construction industry employers are required to purchase workers’ compensation insurance in Missouri.

Workers' Compensation: Fraud and Noncompliance (FN-09)

A brochure containing information about workers' compensation fraud and noncompliance.

Workplace Safety - Required Safety Training (LS-59)

Required training for workplace safety.

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