Publications and Forms
First Report of Occupational Fatality (MODOL-4474)
Use this form to report occupational fatality to the Department of Labor for the Missouri Census of Fatal Occupational Injuries.
Formulario Para Quejas de Igualdad de Oportunidades (MODOL-4519-S)
Rellena este formulario si cree que ha estado sujeto a discriminación bajo el Título I de WIA - programa o actividad financiados dentro del Departamento.
Group Trust Member Information Update (WC-270)
A form used to report a group trust members name and/or address change.
Health Care and Social Assistance Data Sheet (LS-79)
Analyzing 2018 workplace injuries in the Health Care and Social Assistance sector.
How to File a Shared Work Certification (MODES-SW-4)
This form provides employers with guidance and tips on how to file a Shared Work weekly certification or weekly claim.
Indemnity (Trust) Agreement (WC-267)
A sample indemnity agreement that may be used as a reference when forming a new group trust.