IM-87 APPLICATION FOR HEALTH COVERAGE & HELP PAYING COSTS (IM-1SSL) UPDATED

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 #
IM-1SSL

 

DISCUSSION:

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

 

NECESSARY ACTION:

  • 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.

 

KE/cj