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Publications and Forms

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.

Tramite su Petición de Seguro por Desempleo (MODES-INF-353-9-S)

Tramite su petición por Internet en cualquier momento.

Unemployment Compensation Notice of Appeal (8-B)

A notice of appeal to the Missouri Court of Appeals.

Vivienda Justa Guía del Consumidor (MCHR-53-S)

En este folleto informativo averiguar acerca de sus derechos de vivienda justa. 

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