
Rds Attn: Child Labor Program P.O. Box 449, Jefferson City, MO 65102-0449 Phone: 573-751-3403 Fax: 573-751-3721 E-mail: childlabor labor.mo.gov Website: www.labor.mo.gov/DLS Complainant Name Date Address City State Daytime Telephone No. ( ) ZIP Code Alternate Telephone No. ( ) E-mail Address Minor Name Age Date of Birth Address Telephone No. ( ) Type of Complaint (Please check all appropriate boxes.) Time/Hours Prohibited Occupation Age Restriction Other Summary of Complaint (.
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How to fill out the MO LS-53 online
The MO LS-53 is a crucial form used to report child labor complaints in Missouri. This guide provides a detailed, step-by-step process to assist users in completing this form accurately and efficiently online.
Follow the steps to fill out the MO LS-53 online.
- Press the ‘Get Form’ button to retrieve the MO LS-53 and open it in your preferred online editor.
- Enter the complainant's name in the designated field to identify who is filing the complaint.
- Input the date on which you are filling out the form. This helps track the complaint timeline.
- Fill in your address, including city, state, and ZIP code, to provide your contact information.
- Provide your daytime and alternate telephone numbers to ensure you can be reached for follow-up questions.
- Input your email address for further communication regarding this complaint.
- Enter the minor's name, age, and date of birth to identify the individual affected by the labor issues.
- Fill in the minor's address and telephone number to maintain clear lines of communication.
- Select the type of complaint by checking all appropriate boxes: Time/Hours, Prohibited Occupation, Age Restriction, or Other.
- Use the summary section to provide a detailed description of the complaint. If necessary, attach additional sheets.
- Input the employer's information, including their name, address, city, state, telephone numbers, and website, to ensure proper identification.
- Indicate the period during which the minor was employed by the employer, specifying the start and end dates.
- Attach any supporting documentation, such as pay stubs or timecards, that may bolster your complaint.
- In the statement of verification, print your name and affirm that all provided information is true under penalties of perjury.
- Sign the form to validate your complaint before submission.
- After completing all sections, save your changes, download the document for your records, and print or share the form as needed.
Please complete the MO LS-53 online to effectively report your child labor complaint.
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