Get Notice Of Case Action - Missouri Department Of Social Services - Dss Mo

Filling out the NOTICE OF CASE ACTION form from the Missouri Department of Social Services is an important step in managing your Temporary Assistance and Medical Assistance cases. This guide provides clear instructions for completing the form online, ensuring you understand each section and can submit it accurately.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to access the NOTICE OF CASE ACTION form and open it in your preferred document editor.
2. Begin by entering the caseworker's name and telephone number in the provided space. This information ensures that the form is directly linked to your case.
3. Fill in the date near the top of the form. This date is significant as it indicates when the notice was issued.
4. Provide the county office address, including street, city, state, and zip code. This identifies the office responsible for handling your case.
5. In the section marked 'To,' enter your name and address details including street, city, state, and zip code. Ensure that all information is accurate for effective communication.
6. Specify the case name and case number. This helps to clearly identify which case this action pertains to.
7. Clearly state the actions taken on your Temporary Assistance case in the sections provided. You will need to fill in the grant amount and reasons for any changes affecting benefits.
8. If applicable, describe the actions related to your Medical Assistance for Families case. Include any rejections or discontinuations and their effective dates.
9. Review the section regarding continued eligibility and any changes in healthcare coverage. This ensures you understand your current benefits.
10. Finally, if you are disagreeing with any decision, note the information regarding your right to request a hearing. This section is critical for asserting your rights.
11. Once all sections are accurately completed, save your changes. You can also download, print, or share the completed form as needed.

Take control of your benefits today by completing the NOTICE OF CASE ACTION online!