Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: APPLICATION FOR HEALTH COVERAGE & HELP PAYING COSTS (IM-1SSL) UPDATED
FORM REVISION #
The IM-1SSL has been updated to add new options for applicants to submit their application to Family Support Division.
Mail to: Family Support Division
615 E. 13th St.
Kansas City, MO 64106
Email to: FSD.Documents@dss.mo.gov
Fax to: (573) 526-9400
- Review this memorandum with appropriate staff.
- Order forms from the E-store or print from Department of Social Services Forms manual.
- Use the form with the Kansas City submission address (see page 8) and discard any forms with the Joplin address.