Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: TPL-1 FORM UPDATE
FORM REVISION #
The TPL-1 form has been updated to include an email address for the Third Party Liability (TPL) Unit. After completion of a TPL-1 form, send a copy via email to the TPL Unit at firstname.lastname@example.org and retain a copy in the participant’s electronic case record in the Electronic Content Management (ECM) system.
The TPL-1 Instructions have been revised to reflect the updated email address. Other changes were made to align the language on the TPL-1 instructions with the TPL-1 form.
- Review this memorandum with appropriate staff.
- Begin using the new TPL-1 form and Instructions immediately.