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Publications and Forms

Disaster Unemployment Assistance (MODES-INF-178)

Information helping workers whose jobs have been affected by natural disasters.

Dispute Management Process (WC-107)

A brochure outlining the voluntary dispute management process.

Docket Location Map (WC-266-3)

Map of Missouri Docket locations that show which County belongs to which Area office.

EDI File Matrix (WC-EDI-262)

EDI File Matrix, IAIBC release first report of injury.

EDI Missouri Data Dictionary (WC-EDI-219)

A dictionary of Missouri IAIABC data definitions.

Electronic Data Distribution Trading Partner Profile (Receiver's Specifications) (WC-133)

A form regarding the profile of an electronic data distribution trading partner (Receiver's specifications).

Electronic File Transfer and Magnetic Media Reporting Specifications (MODES-INF-368)

This booklet contains instructions and specifications for electronic file transfer (Internet) or magnetic media reporting (compact disc) to the Missouri Division of Employment Security.

Electronic Partnering/Confidentiality Agreement (FROI) (WC-250)

A form to be completed by the employer/insurer regarding the electronic filing of First Reports of Injury.

Electronic Partnering/Confidentiality Agreement (Second Injury Fund Surcharge) (WC-276)

A form to be completed by the employer/insurer regarding the electronic filing of the quarterly Second Injury Fund Surcharge Report Forms.

Employer Benefit Charges (MODES-INF-280)

Information regarding the quarterly statement of benefit charges.

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