IM-005 – RETURN ADDRESS INFORMATION ADDED TO MO HEALTHNET APPLICATIONS

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Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri

TO:  ALL FAMILY SUPPORT OFFICES

FROM:  PATRICK LUEBBERING, DIRECTORSUBJECT:   RETURN ADDRESS INFORMATION ADDED TO MO HEALTHNET APPLICATIONSFORMS MANUAL REVISION #1

DISCUSSION:

In order to streamline the application process for paper applications, the following online printable applications have been updated to include the preferred return address and fax number:

  • IM-1BC
  • IM-1MA
  • IM-1QMB/SLMB

The return information added is:

Missouri Department of Social Services
Family Support Division
P.O. Box 2320
Jefferson City, MO 65102-2320

Fax: 573-751-3091

Applications received in the local office must be processed or forwarded as previously instructed, and should not be forwarded to this new address.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/vb