| Missouri Department of Labor and Industrial Relations

Group Trust Member Information Update (WC-270)

A form used to report a group trust members name and/or address change.

Hand Tool Safety (LS-118)

Hand tools can cause cut/puncture/scrape injuries, eye injuries, and struck-by injuries.

Health Care and Social Assistance Data Sheet (LS-79)

Analyzing 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.

INFORMACIÓN DE AUDIENCIA TELEFÓNICA (MODES-L-20-2-S)

Información general e instrucciiones de procedimineto sobre cómo participar en una audiencia telefónica realizada por el Tribunal de Apelaciones de la División de Seguridad del Empleo.

Información para Trabajadores (MODES-INF-170-S)

Lo que necesita saber sobre el Seguro por Desempleo de Missouri. Aspectos básicos del seguro de desempleo, información de contacto para DES y una lista de centros profesionales.

Information about Reemployment Trade Adjustment Assistance (MODES-4640-R)

Information about the RTAA Program (MODES-4640-R) Information for Reemployment Trade Adjustment Assistance (RTAA) and a form to request a claim for RTAA..

Information for Workers (MODES-INF-170)

What you need to know about Unemployment Insurance in Missouri. Basics of unemployment insurance after a claim is filed, contact information for DES and a list of career centers.

Instruction for Quarterly Contribution and Wage Report (MODES-4-5)

Instructions on how to complete the MODES-4-7.

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Frequently Requested Forms

Claim for Compensation (Workers' Comp.)
Quarterly Contribution and Wage Report (Employment Security)
Contribution & Wage Adjustment Report (Employment Security)
Disability Schedule and Benefit Limits (Workers' Comp.)
Certificate to Employ a Child 14 or 15 Years of Age During School Term
Certificate to Employ a Child 14 or 15 Years of Age During Non-School Term
Missouri Minimum Wage Poster
Request for Mediation (Workers' Comp.)
Request for Pre-Hearing (Workers' Comp.)
Information for Workers (Employment Security)
Employers' Rights and Responsibilities (Employment Security)

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