Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: REVISIONS TO WAIVER OF 10-DAY ADVANCE NOTICE (IM-80A)
FORM REVISION #
The IM-80A was updated with current Family Support Division (FSD) terms. Other changes were made to allow streamlined use for all FSD programs.
The FSD Staff section, at the bottom of the form, allows staff to provide their name and title and removes the requirement to witness the participant’s signature. This allows the IM-80A to be used by FSD staff interacting with participants by methods other than in person.
The IM-80A shows a revision date of 6/2022 and is available in the public and internal forms manuals.
• Review this memorandum with appropriate staff.
• Begin using the revised IM-80A immediately.