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Publications and Forms

Contribution and Wage Adjustment Report (MODES-4A)

Employers use the Contribution and Wage Adjustment Report to adjust summary total and wage data previously reported. A separate report is to be used for each quarter to be adjusted and for each separate account number assigned.

Employer Change Request (MODES-9)

An employer uses the Employer Change Request to inform the Division when it has sold all or part of its business, closed its business, stopped employing workers, or changed its name or address. The Division evaluates the information from the form to determine whether the employer's account should be updated, closed, transferred, or left unchanged.

Employer Request for an Appeal of Unemployment Insurance Benefits Determination (MODES-4792)

This is the form for employers to appeal an unemployment insurance determination regarding a former employee.

Employers' Rights and Responsibilities (MODES-INF-151)

A booklet outlining employers' rights and responsibilities under Missouri Employment Security law.

Filing Your Quarterly Contribution and Wage Reports (MODES-INF-394)

How to file quarterly reports for employers and other information.

How to File a Shared Work Certification (MODES-SW-4)

This form provides employers with guidance and tips on how to file a Shared Work weekly certification or weekly claim.

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

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

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.

Power of Attorney (MODES-4444)

A form authorizing power of attorney to a business representative.

Quarterly Contribution and Wage Report (MODES-4)

Employers use the Quarterly Contribution and Wage Report to report wages of their employees to the Division of Employment Security. Each liable employer is required to file this report each quarter even if it has paid no wages that quarter or if its assigned tax rate is zero.

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