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Publications and Forms

Missouri Access MasterCard® Debit Card Information (MODES-4606)

Missouri Access MasterCard Debit Card information.

Payroll Records Required By Law (MODES-31)

A poster containing information about payroll records to be displayed in workplace.

Quarterly Wage Report Continuation Sheet (MODES-10B)

The Division uses the Quarterly Wage Report Continuation Sheet to allow reporting of additional employees when there are more employees than will fit on the Quarterly Contribution and Wage Report (MODES-4). This form MODES-10B should be attached to the MODES-4.

Quarterly Wage Report Continuation Spreadsheet (MODES-10B)

The Division uses the Quarterly Wage Report Continuation Sheet to allow reporting of additional employees when there are more employees than will fit on the Quarterly Contribution and Wage Report (MODES-4). This form MODES-10B should be attached to the MODES-4.

Self-Evaluation Questionnaire / Work Search Record (MODES-4633)

A self-evaluation questionnaire to be completed by an unemployed claimant.

Social Security Number Correction (MODES-4427)

Employers use the Social Security Number Correction form to correct the social security number of an employee whose number was erroneously reported. Employers may correct the social security number of one employee on each correction form, but the form may be applicable to more than one calendar quarter. After making the correction, please return to:
 

Division of Employment Security
Attn: Employer Accounts Unit
P. O. Box 59
Jefferson City, MO 65104-0059
or it can be faxed to 573-751-9705.

Termination of Coverage Application (MODES-6)

This application is to be completed by an employer that would like to request termination of coverage. Please see the form to learn the necessary qualifications for your specific employer type. This form is effective January 1st and must be filed by February 10th of the year with respect to which the termination is to be effective.

Trade Adjustment Assistance For Workers 2011 (MODES-INF-195)

Information about Trade Adjustment Assistance for workers who have lost their job due to foreign trade.

Trade Adjustment Assistance for Workers 2014 (MODES-INF-195-3)

Information about Trade Adjustment Assistance for workers who have lost their job due to foreign trade.

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