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Publications and Forms

Ley sobre Indemnización al Trabajador (WC-106-S Tabloid Size)

Información de los trabajadores acerca de la indemnización de los trabajadores; requerida en el lugar de trabajo.

Mass Claim File Specifications (MODES-5074)

This form lets employers know how they will need to have their data setup in order to file Mass Claims through UInteract without error.

Medical Treatment Form (WC-9)

A form to be completed by a physician when treating a worker involved in a workers' compensation claim.

Mesothelioma Liability Election of Self-Insured Employer or Group Trust Member Pursuant to 287.200.4(3), RSMo (WC-304-I)

A form used by Division authorized self-insured employers and group trust members to notify the Department of their mesothelioma liability election

Military Unemployment Benefits for Trailing Spouses (MODES-4793)

Missouri law allows spouses of active or reserve military personnel to be eligible for unemployment insurance benefits if leaving their job to relocate to be with their spouse.

Minimum Wage Complaint Form (LS-51)

A complaint form regarding Missouri minimum wage. File online today!

Missouri Department of Labor Contractors Payroll Form (LS-57)

A form to record contractor payment records on public works projects.

(NOTE: For best results, download the form and fill out using Adobe Reader instead of completing the form in the browser.)

Missouri Minimum Wage Required Poster (LS-52)

Poster to be hung in workplace regarding Missouri minimum wage.

Missouri Safety and Health Consultation Service (LS-10)

Information series regarding a no-cost confidential service for employers to help achieve OSHA compliance and increase workplace safety.

Missouri Unemployment State Tax Automated Reporting (MODES-INF-395)

Employer information for electronically conducting unemployment insurance tax business.