Form MODES-4 at a glance
What it is: The Quarterly Contribution and Wage Report is the Missouri Div. of Employment Security Unemployment Insurance Tax report.
Where and when to file: File online at uinteract.labor.mo.gov.
A filled-in Form MODES-4 example: an employer reports one worker's wages
How to fill out Form MODES-4, box by box
Employer name, account number and Federal ID
1. Employer Name and Address.
2. MO Employer Account No. and Year. 3. Calendar Quarter. AUDIT (DO NOT USE).
14. Federal ID Number.
Wages, taxes due and interest
Items 4, 5 and 6 must have amounts, even if zero. 4. Total Wages Paid. 5. Wages Paid in Excess of Per Worker Per Year (See Instruction Sheet). 6. Taxable Wages (Item 4 Minus Item 5).
7. Taxes Due (Multiply Item 6 by Your Rate).
8. Interest Assessment Due to Federal Advances. 9. Interest Charges of per month if paid after.
Late report penalty, outstanding amounts and total payment
10. Late Report Penalty Charges (See Item 15 to the Left). 11. Outstanding Amounts as of. 12. Total Payment.
15. This report is due by. Greater of 10% or $100 penalty after. Greater of 20% or $200 penalty after (checked October 30, 2026).
Covered workers in each month
For each month, enter the number of covered workers who worked or received pay for the period that includes the 12th of the month.
SSN, First Name, Middle Initial, Last Name and Total Wages
16. 17. 18. 19. 20. SSN, First Name, Middle Initial, Last Name, Total Wages, Multi-state, Check If Yes, Probationary Start Date, End Date.
Page number and total for this page
“21. Page of Pages, Total This Page.”
Certification, Taxpayer or Preparer, Title and Phone
Taxpayer or Preparer, Title and Phone.
"I certify that the information contained in this report, including name and address in Item 1, is true and correct."
More rules for Form MODES-4
Place X in applicable box and complete “Employer Change Request.”
This form is read by a machine. Please type or print this report. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966 Relay Missouri: 711
Common questions about Form MODES-4
Where do I file it?
“If mailing, return this page with remittance to: Division of Employment Security P.O. Box 888 Jefferson City, MO 65102-0888. Make check payable to Division of Employment Security or pay online at uinteract.labor.mo.gov.”
Sources
[1] Form MODES-4 (01-19), Quarterly Contribution and Wage Report, Missouri Division of Employment Security (the Official source link on this page).