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Publications and Forms

Division of Workers' Compensation's 2017 Annual Report

This report, as required by §287.680 RSMo, briefly describes each of the programs and units with the Division of Workers' Compensation and summarizes the transactions and proceedings undertaken for the year 2017.

Docket Locations Directory (WC-266)

Directory of Missouri Docket locations and addresses.

Educational Services Data Sheet (LS-78)

Analyzing 2018 workplace injuries in the Educational Services sector.

Eligibility Guidelines for Physical Rehabilitation (WCR-7)

A form outlining eligibility guidelines for the Second Injury Fund.

Employer Request for an Appeal of Unemployment Insurance Benefits Determination (MODES-4792)

This is the form for employers to appeal an unemployment insurance determination regarding a former employee.

Employers Employing Workers Under the Age of 16 List (LS-43)

A poster required to be hung in a workplace containing employees under the age of 16.

Employers' Rights and Responsibilities (MODES-INF-151)

A booklet outlining employers' rights and responsibilities under Missouri Employment Security law.

Entertainment Work Permit Request (LS-37)

An entertainment work permit for youth under 16 years of age.

Equal Opportunity Complaint Form (MODOL-4519)

Fill out this form if you think you have been subjected to discrimination under a WIA Title I - financially assisted program or activity within the Department. Fill out online.

Equal Opportunity is the Law (MODOL-4522)

What to do if you believe you have experienced discrimination by Department of Labor’s employees.

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