Workers' Compensation Requirements - Missouri
employees in the event of on-the-job injuries. Employer Roles and Responsibilities Employers liable under the Law: In the state of Missouri, employers with five or more employees are required to carry workers’ compensation insurance. Employers in the construction industry with one or more employees who erect, demolish, alter or repair
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Contractor Payroll Records - Missouri
labor.mo.govPayroll No. For Week Ending / / AWO Project and Location Project or Contract No. 1. Name and Address of Employee : 2. Occupational Title *** 3. Day and Date 4. Total Hours 5. Hourly Rate . 6 . Gross Amt 7. Deductions 8. Net Wages Paid for Week Day Project : Week FICA and Medicare . Federal and State Withhold - ing Tax . Other A : Other
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labor.mo.govclaim is hereby made for all compensation as provided in the missouri workers’ compensation law, relating to injury (OR DEATH) OF THE EMPLOYEE BY ACCIDENT ARISING OUT OF AND IN THE COURSE OF THE EMPLOYMENT.
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Claim for Compensation - Missouri Labor
labor.mo.govDIVISION OF WORKERS’ COMPENSATION P.O. Box 58 Jefferson City, MO 65102-0058 CLAIM FOR COMPENSATION INJURY NUMBER - NOTE: This form should be used to file a Claim for Compensation for accident or injury including occupational diseases and occupational diseases due to toxic exposure that occur on or after January 1, 2014.
Information about Workers’ Compensation in Missouri
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Quarterly Contribution and Wage Report
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Affidavit of Exemption for Workers' Compensation Insurance
labor.mo.govWC-134-3 (01-18) AI " S" Corporations: Effective January 1, 2018, a shareholder in an "S" Corporation (as defined by Section 143.471.1, RSMo) who owns at least 40% of the outstanding stock in that corporation may individually reject workers' compensation
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labor.mo.govLS -112 (08-21) AI VICTIMS OF DOMESTIC OR SEXUAL VIOLENCE LEAVE TIME ALLOWED See Section 285.630, RSMo., and refer to Sections 285.625 to 285.670 RSMo. for definitions. • May request certification that the employee or member of family or household is a victim as
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