Get Mo 650-8997 2012

Filling out the MO 650-8997 form is an essential step for individuals required to meet substance abuse education or treatment requirements. This guide provides clear, step-by-step instructions to help users complete the form correctly and efficiently.

Follow the steps to fill out the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred digital editing tool.
2. Complete Section I by providing your personal information, including your name, social security number, current mailing address, telephone number, driver license number, date of birth, and gender.
3. If you are an out-of-state resident, fill out Section II with details of your assessment, including the date of assessment, name of the assessor, recommendations, and description of services completed, including start and end dates.
4. For Missouri residents, complete the Missouri residency requirements in Section II, listing treatment dates and the number of treatment hours successfully completed in various categories such as individual counseling, group counseling, and education.
5. Fill out Section III with the agency's certification information, including the agency's name, contact information, and validity of accreditation.
6. Complete Section IV by providing your name, signature, date, and agency details, ensuring it is signed legibly.
7. Review the completed form for accuracy, then save the changes to your digital file.
8. Download or print the completed form to submit it via mail with the required supplemental fee of $249. Ensure that any additional documentation is also included.

Start filling out your MO 650-8997 online today to ensure timely submission and compliance.