The Missouri Contribution and Wage Adjustment Report is a document that is prepared and submitted by employers to the Missouri Department of Revenue. It is used to report employer-withheld taxes and wages paid to employees. This form is used to report the following taxes and wages for employees located in the state of Missouri: state income tax, withholding tax, employee contributions to the Missouri Healthier program, and wages paid to employees. There are two types of Missouri Contribution and Wage Adjustment Reports: the Annual Report and the Quarterly Report. The Annual Report is prepared and submitted annually and is used to report the total wages paid to employees as well as the taxes and contributions withheld from the wages. The Quarterly Report is prepared and submitted every three months and is used to report the cumulative wages paid to employees as well as the cumulative taxes and contributions withheld from the wages.