The Missouri Modes 9 form is an official document used by employers to request changes regarding their business information with the Missouri Department of Labor and Industrial Relations. This form is essential for notifying the state about updates such as changes in name, address, or business status. Completing this form accurately ensures compliance and helps maintain your business's good standing.
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The Missouri Modes 9 form serves as a crucial tool for employers in the state, facilitating the process of updating essential business information with the Division of Employment Security. When changes occur—whether due to a shift in ownership, a merger, or the closure of a business—this form allows employers to communicate those changes effectively. It covers a range of scenarios, including alterations to the business name or address, the cessation of employee operations, and the sale or transfer of business ownership. Additionally, it captures vital details about new owners or operators, ensuring that the continuity of business operations is maintained without interruption. Employers are also required to provide information about any independent contractors, should they choose to operate without employees. The form emphasizes the importance of accurate record-keeping and compliance, as it helps the state maintain up-to-date information for tax and employment purposes. Understanding the various sections of the Missouri Modes 9 form can empower employers to navigate their responsibilities with confidence and clarity.
MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
DIVISION OF EMPLOYMENT SECURITY
Phone: 573-751-3340
P.O. Box 59, Jefferson City, MO 65104-0059
Fax: 573-751-7483
EMPLOYER CHANGE REQUEST
OFFICE USE ONLY
A/N
LIA9 -ID
CURRENT NAME/ADDRESS
MY FEDERAL ID NO. HAS CHANGED OR IS INCORRECT
Name
Address
Employer Account Number
Phone Number
E-mail
My Name or Address Has Changed
I NO LONGER HAVE EMPLOYEES BECAUSE
Date of Change
Date Last Wages were Paid
Closed Business
Entire Business Sold
Corporation/LLC formed/dissolved
Operate without employees
Merger
Change in Partnership
Lease Employees
Partial Sale Only
Stock Ownership or Officer/Member change
Death of Owner
Date of Death
Bankruptcy
Case #
Court
Date Filed
Chapter
Use Independent Contractors
Please attach list of contractors used including name, address, phone, SSN/FEIN.
Other (please explain)
New Owner/Operator’s Name, Address, and Telephone Number
Did the new owner/operator continue your business without interruption?
Yes
No
Did the new owner/operator acquire 100% of your Missouri business activities?
If “No,” indicate the percentage of Missouri business operations acquired:
%
Explain what portion of the business was acquired
Is there common ownership, management or control with the previous owner/operator?
New Owners, Partners, Officers
City, State, ZIP
Previous Owners, Partners, Officers
Signature of Person Completing this Form
Date
Print Name and Title
Telephone Number
Missouri Division of Employment Security is an equal opportunity employer/program.
Auxiliary aids and services are available upon request to individuals with disabilities.
MODES-9 (08-13) AI Cont.
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