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Get Mo Dss Cm-5 2016

Title: Child Care Provider Agreement (Licensed)Agreement For Services Missouri Department of Social ServicesDivision of Finance & Administrative Services Purchasing Unit P.O. Box 1643 Jefferson City,.

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How to fill out the MO DSS CM-5 online

The MO DSS CM-5 form is essential for establishing a child care provider agreement with the Missouri Department of Social Services. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring a smooth submission process.

Follow the steps to successfully complete your MO DSS CM-5 form online.

  1. Press the ‘Get Form’ button to access the form and open it in your online editor.
  2. Begin by entering the legal name of the entity or the facility. Make sure to provide accurate information as this is crucial for the registration process.
  3. Fill in the authorized signature section with the name and title of the facility owner or representative. Ensure the signature is consistent with official documentation.
  4. Provide the facility's address, including the city, state, and zip code. This information is necessary for correspondence and verification.
  5. Enter the IRS form 1099 mailing address if it differs from the facility address, as well as the county of the facility.
  6. Check all applicable boxes that describe your facility type, ensuring accurate representation of your entity.
  7. Complete the contact person information, including their name, title, and phone number for further communication if needed.
  8. Review all sections of the form to ensure accuracy and completeness. Check for any missed fields or errors.
  9. Once all fields are filled out, save your changes. You can then download, print, or share the form as required.

Complete your MO DSS CM-5 form online today and ensure your child care services are registered successfully.

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MO DSS CM-5
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