Google Translate

Search by form number, title, or keyword

Publications and Forms

2010 Annual Report

The 2010 report contains information about Missouri Department of Labor programs and services, including articles and information detailing improvements, changes and accomplishments throughout the year, as well as important statistics. 

2011 Annual Report

The 2011 report contains information about Missouri Department of Labor programs and services, including articles and information detailing improvements, changes and accomplishments throughout the year, as well as important statistics. 

2012 Annual Report

The 2012 report contains information about Missouri Department of Labor programs and services, including articles and information detailing improvements, changes and accomplishments throughout the year, as well as important statistics.

Affidavit of Compliance with Prevailing Wage Law (PW-4)

An affidavit signifying compliance with the prevailing wage law.

Answer to Application for Direct Payment (WC-199)

A form to be completed by the employer or insurer responding to the application for direct payment.

Answer to Application for Payment of Additional Reimbursement of Medical Fees (WC-198)

A form to be completed by the employer or insurer responding to the application for payment of additional reimbursement of medical fees (a “reasonableness” case).

Application for Administrative Ruling (WC-214)

A form which may be completed by a health care provider, an employer or insurer in a “reasonableness” medical fee dispute where the amount in dispute does not exceed $1,000.

Application for Certification - Safety Consultant/Safety Engineer (WSP-10)

A form application for certification for a safety consultant or safety engineer.

Application for Direct Payment (WC-MD-01)

A form for use by a health care provider to apply for direct payment in regards to a workers' compensation medical fee dispute—if the health care provider believes that it can show that it was authorized to treat the employee but no payment has been made.

Application for Evidentiary Hearing (WC-MD-03)

A form for use by a health care provider, an employer or an insurer to request an evidentiary hearing in regards to a workers’ compensation medical fee dispute.

Pages