Submit a request – Missouri Department of Labor

Your email address

I am a(n)...

I need help with...

Other(optional)

I need help with...

Other(optional)

Please select a specific appeal issue:(optional)

Other(optional)

Please select a specific tax issue:(optional)

Other(optional)

Subject

Description

Please enter the details of your request. A member of our support staff will respond as soon as possible.

Business Name(optional)

Federal Employer Identification Number (FEIN)(optional)

Employer Account Number(optional)

Account Verification(optional)

Full Name

Phone Number(optional)

Date of Birth

i.e. MM/DD/YYYY

Uinteract Account ID Number(optional)

Claimant Name

Claimant SSN(optional)

Claimant Phone Number(optional)

Name of Person Reporting Fraud(optional)

Phone Number of Person Reporting Fraud(optional)

How did you learn of the fraudulent account activity?

Last Four of SSN(optional)

Attachments(optional)

Add file or drop files here