| Missouri Department of Labor and Industrial Relations

General Wage Order No. 67 (GWO 67)

Wage rates for state highway construction. (FOR REVIEW ONLY)

General Wage Order No. 68 (GWO-68)

Wage rates for state highway construction.

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 2018 workplace injuries in the Health Care and Social Assistance sector.

Horas adquiridas de licencia medica remunerada (LS-121-S)

Horas adquiridas de licencia medica remunerada

Horas adquiridas de licencia medica remunerada (LS-122-S)

Horas adquiridas de licencia medica remunerada

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.

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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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