Get Mo 650-8997 2010

Filling out the MO 650-8997 form online can streamline the process of providing necessary information for the Substance Abuse Traffic Offenders Program. This guide will walk you through each section to ensure you complete it accurately and efficiently.

Follow the steps to complete the MO 650-8997 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section I, enter the offender information. Provide the full name (last, first, middle initial), social security number, mailing address, telephone number, driver license number, date of birth, and the state where the license was issued. Ensure all details are printed legibly.
3. For Section II, the agency will need to fill out completion information. This includes assessment dates, assessor information, recommended services, and details about treatment completed. Be sure the agency representative provides accurate dates in MM/DD/YY format.
4. Section III requires agency certification and accreditation information. This includes the name of the department or division, contact person, agency address, and telephone number. The agency must also check the appropriate accreditation that applies.
5. In Section IV, the authorized agent from the agency must print their name, provide a signature, and enter the date. Also, fill in the agency information including street address and phone number.
6. Once all sections are filled out, review the form for accuracy and completeness. Save your changes, then download or print the completed form.
7. Finally, mail your signed form along with a supplemental fee in the form of a money order to the address provided on the front of the form. Retain a copy of your completed form and any related documentation for your records.

Start filling out your MO 650-8997 form online today for a smooth completion process.