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Publications and Forms

Claimant Request for Appeal of Unemployment Insurance Determination (MODES-4607)

This is the form for claimants to appeal an unemployment insurance determination.

Complaint Intake Questionnaire - Employment Complaints (MCHR-44)

An intake questionnaire regarding discrimination in employment to be completed within 180 days of alleged discrimination.

Complaint Intake Questionnaire - Housing Complaints (MCHR-46)

An intake questionnaire regarding housing complaints.

Complaint Intake Questionnaire - Public Accommodations (MCHR-45)

An intake questionnaire regarding discrimination in public accomodations to be completed within 180 days of alleged discrimination.

Conozca sus Derechos Capacitacion y orientatcion sobre la discriminacion (MCHR-39-S)

Un folleto de la discriminación que abarque la educación y la formación ofrecida por MCHR. 

Contractor's Wage Survey (LS-04)

The Contractor's Wage Survey is voluntary, but heavily encouraged as the information collected from contractors helps determine the Annual Wage Order for the coming year. This survey accepts ONLY wages from commercial work (wages from residential projects will NOT be accepted).

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.

Crime Victim Petition for Review to the LIRC (MOIC-2568)

A petition for review by the LIRC of a decision made by a workers compensation administrative law judge.

Datos para Trabajadores Lesionados (WC-101-S)

Un folleto delineando hechos para los trabajadores lesionados en materia de indemnización de los trabajadores en Missouri.

Decertification Showing of Interest (SBM-10)

A list to be completed by employees decertifying their exclusive bargaining representative.

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