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Publications and Forms

Salario Mínimo de Missouri requiere del cartel (LS-52-S-2017)

Efectivo 01 de enero de 2017

Cartel para colgar en el lugar de trabajo a Missouri salario mínimo.

Self-Insuring Workers' Compensation Liability Through Trusts (WC-124)

This brochure is to inform employers who are or want to be self-insured for workers' compensation liability through trusts (a way employers that are usually within the same industry or members of the same association can pool their liabilities with other employers).

Shared Work Plan Application (MODES-SW-1)

Apply for the Shared Work Program, an alternative to laying off your employees!

Shared Work: An Alternative to Laying Off (MODES-4786)

Information regarding the Shared Work Program relating to employers and employees.

Showing of Interest Signature Form (SBM-09)

A list to be completed by employees naming their exclusive bargaining representative.

Showing of Interest Signature Form - Decertification Petition Only (SBM-10)

A list to be completed by employees decertifying their exclusive bargaining representative.

Statement of Specific and Aggregate Excess Insurance Coverage (WC-121)

Proof of initial, renewal, or changes to specific and aggregate Missouri only excess insurance coverage.

Survivors' Benefits: For Family Members of Missouri's Fallen Workforce (WCLoD-15)

A brochure outlining the benefits provided by the Missouri Workers’ Compensation Law in the event of a compensable fatal accident or fatal occupational disease.

Tort Victim Petition for Review to the LIRC (T-2568)

A petition for review by the LIRC of a decision made by a workers compensation administrative law judge.

Unemployment Compensation Notice of Appeal (8-B)

A notice of appeal to the Missouri Court of Appeals.

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