Work sheet and information for employers who wish to make voluntary payments to reduce their contribution rates.
Work sheet and information for shared work employers who wish to make voluntary payments to reduce their contribution rates.
A form to gather additional information to determine eligibility for physical rehabilitation benefits.
Information to help determine if making a voluntary payment would be good for you business.
Use this form to keep a list of all the employers and labor unions you contact each week while claiming unemployment insurance benefits.
The Worker Relationship Questionnaire is completed by a business and/or worker regarding the details of the worker's Missouri services performed. Not fillable at this time.
Roles and responsibilities for Employers and Employees; required in workplace.
Roles and responsibilities for Employers and Employees; required in workplace.
A guide as to when construction industry employers are required to purchase workers’ compensation insurance in Missouri.
The Division of Workers’ Compensation accepts the Claim for Compensation and Answer to Claim for Compensation (with cover letter, if submitted) electronically from Law Firms where the attorneys are admitted to practice law in the State of Missouri.
A brochure containing information about workers' compensation fraud and noncompliance.
A resource to help understand the laws surrounding youth in the workforce.
Información relacionada con el fraude 1099 - clasificación errónea de los trabajadores, incluidas las consecuencias, en línea de evaluación y reporte de propinas.
The 2009 report contains information about Missouri Department of Labor programs and services, including articles and information detailing improvements, changes and accomplishments throughout the year, as well as important statistics.
The 2010 report contains information about Missouri Department of Labor programs and services, including articles and information detailing improvements, changes and accomplishments throughout the year, as well as important statistics.
The 2011 report contains information about Missouri Department of Labor programs and services, including articles and information detailing improvements, changes and accomplishments throughout the year, as well as important statistics.
The 2012 report contains information about Missouri Department of Labor programs and services, including articles and information detailing improvements, changes and accomplishments throughout the year, as well as important statistics.
An affidavit signifying compliance with the prevailing wage law for MoDOT projects.
An affidavit signifying compliance with the prevailing wage law.
A form to be completed by the employer or insurer responding to the application for direct payment.
A form to be completed by the employer or insurer responding to the application for payment of additional reimbursement of medical fees (a “reasonableness” case).
A form which may be completed by a health care provider, an employer or insurer in a “reasonableness” medical fee dispute where the amount in dispute does not exceed $1,000.
A form application for certification for a safety consultant or safety engineer.
A form for use by a health care provider to apply for direct payment in regards to a workers' compensation medical fee dispute—if the health care provider believes that it can show that it was authorized to treat the employee but no payment has been made.
A form for use by a health care provider, an employer or an insurer to request an evidentiary hearing in regards to a workers’ compensation medical fee dispute.
A form for use by health care provider applying for payment of additional reimbursement of medical fees in a workers’ compensation medical fee dispute —if a partial payment has been made. (These are called “reasonableness” cases.)
An authorization form to inspect and/or copy medical records pertaining to a workers’ compensation case.
This form allows a job applicant to grant a prospective employer access to the job applicant’s workers’ compensation record in Missouri.
The Common Paymaster Application is completed by a business that wishes to report the workers of a related business under its own account number. The Division of Employment Security will use the information provided on the application to either approve or deny the request for Common Paymaster reporting. To qualify:
- The businesses involved must be corporations or limited liability companies taxed as corporations.
- The entities must be related.
- The workers reported by the Common Paymaster must perform service for two or more of the related corporations during each calendar quarter.
A checklist for a contractor on a public works projects to be in compliance.
Information helping workers whose jobs have been affected by natural disasters.
Map of Missouri Docket locations that show which County belongs to which Area office.
A form regarding the profile of an electronic data distribution trading partner (Receiver's specifications).
This booklet contains instructions and specifications for electronic file transfer (Internet) or magnetic media reporting (compact disc) to the Missouri Division of Employment Security.
A form to be completed by the employer/insurer regarding the electronic filing of First Reports of Injury.
A form to be completed by the employer/insurer regarding the electronic filing of the quarterly Second Injury Fund Surcharge Report Forms.
Information regarding the quarterly statement of benefit charges.
Explanation of what should be reported to the Division of Employment Security by different types of employers.
A form for an attorney to enter his or her appearance in a workers' compensation medical fee dispute.
A form for an attorney to make an entry of appearance in a workers' compensation case.
Complete the form to report a business for not carrying workers' compensation insurance.
The checklist of required items and information that must accompany the Application for Membership (WC-81B).
A health care provider’s response to a request for an award on undisputed facts in regard to an application for direct payment medical fee dispute.
Current contact information to be submitted by self-insured employers on an annual basis and as needed.