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Publications and Forms

Unemployment Insurance Application For Review (MOIC-L-6)

An application to have a decision of an Appeals Tribunal of the Division of Employment Security reviewed by the Labor and Industrial Relations Commission

Vivienda Justa - La promoción de vecindarios libres de discriminación (MCHR-41-S)

Guía sobre cómo prevenir la discriminación en la vivienda para propietarios, arrendadores y quienes busquen comprar o alquilar una casa o apartamento.

Voluntary Payment Information and Work Sheet (MODES-2272)

Work sheet and information for employers who wish to make voluntary payments to reduce their contribution rates.

Workers' Compensation Subpoena (WC-25-AI)

A subpoena for a workers compensation case requiring the attendance of an individual at a hearing.

Workers' Compensation Subpoena Duces Tecum (WC-25-A-AI)

A subpoena for a workers compensation case requiring the attendance of an individual—along with specified documents or other evidence—at a hearing.

Workers' Compensation Subpoena Duces Tecum For Deposition (WC-25-C-AI)

A subpoena for a workers compensation case requiring the attendance of an individual—along with specified documents or other evidence—at a deposition.

Workers' Compensation Subpoena For Deposition (WC-25-B-AI)

A subpoena for a workers compensation case requiring the attendance of an individual at a deposition.

2011 Workforce Diversity Plan

The plans and policies of the Department of Labor and Industrial Relations regarding equal employment opportunity to applicants without regard to race, color, religion, sex, age, national origin, political belief, veteran status, and physical or mental disability.

Affidavit for Security Release (WC-264)

A sample affidavit for former self-insured employers requesting release of security.

Affidavit for Security Release - Group Trusts (WC-264-G)

A sample affidavit for former self-insured group trusts requesting release of security.

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