Google Translate

Search by form number, title, or keyword

Publications and Forms

2019 Missouri Minimum Wage Required Poster (LS-52)

2019 poster to be hung in workplace regarding Missouri minimum wage.

2019 Salario Minimo de Missouri requiere del cartel (LS-52-S)

2019 Cartel para colgar en lugar de trabajo a Missouri salario minimo.

Additional Page for Subunit Information (SBM-LM-1-5)

Attach this form to the Labor Organization Information Report (SBM-LM-1) if additional subunit information space is needed.

Administrative and Support and Waste Management and Remediation Services Data Sheet (LS-76)

Analyzing 2018 workplace injuries in the Administrative and Support and Waste Management and Remediation Services sector.

Affidavit of Zero Reporting - Commercial Insurers Only (WC-240)

An affidavit of zero reporting may be completed by insurance carriers authorized to write workers’ compensation policies in Missouri but not writing workers’ compensation policies for the calendar year.

Annual Certification Renewal - Safety Consultant/Safety Engineer (WSP-11)

An annual renewal for certification for a safety consultant or safety engineer.

Answer to Claim For Compensation (WC-22)

A form to be completed by the employer, attorney for employer/insurer/Third-Party Administrator, or Missouri Attorney General’s Office when filing an Answer to a claim for workers’ compensation. This Answer form is to be used for injuries occurring prior to January 1, 2014.

Answer to Claim for Compensation (WC-22-A)

Answer to Claim for Compensation form to be completed by the employer, attorney for employer/insurer/Third-Party Administrator, or Missouri Attorney General’s Office when filing an Answer to a claim for workers’ compensation.  This Answer form is to be used for injuries occurring on or after January 1, 2014, based upon the revisions to the Workers’ Compensation Law. 

Appeals Rights and Procedures (WC-116)

Appeals rights and procedures in workers' compensation cases.

Application for Certification (WSP-45)

An application for certification by an insurance carrier writing workers' compensation in the state of Missouri.

Pages