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Publications and Forms

First Report of Occupational Fatality (MODOL-4474)

Use this form to report occupational fatality to the Department of Labor for the Missouri Census of Fatal Occupational Injuries.

Form 8-C Notice of Appeal (8-C)

An appeal filed to the Missouri Court of Appeals.

General Wage Order 57

The General Wage Order lists prevailing wage rates on Missouri State Highway and Transportation Commission construction projects in each county. GENERAL WAGE ORDER NO. 57 IS NOW FINAL AND IN EFFECT AS OF AUGUST 1, 2013.

Group Trust Member Information Update (WC-270)

A form used to report a group trust members name and/or address change.

How the Prevailing Wage is Determined (LS-13)

A brochure containing information about the prevailing wage law in Missouri.

Indemnity (Trust) Agreement (WC-267)

A sample indemnity agreement that may be used as a reference when forming a new group trust.

Información Sobre Denuncia por Discriminación (MODOL-4519-S)

Rellena este formulario si cree que ha estado sujeto a discriminación bajo el Título I de WIA - programa o actividad financiados dentro del Departamento.

Information about Reemployment Trade Adjustment Assistance (RTAA) / Request for Reemployment Trade Adjustment Assitance Claim (MODES-4640)

Information for Reemployment Trade Adjustment Assistance (RTAA) and a form to request a claim for RTAA.

Instruction for Quarterly Contribution and Wage Report (MODES-4-5)

Instructions on how to complete the MODES-4-7.

Instruction Sheet for the Contract Payroll Form (LS-57-3)

Instructions on how to complete LS-57.

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