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Get MO MO 650-5828N 2002-2024

ZIP CODE) THE TERM STATE MEANS THE MISSOURI DEPARTMENT OF MENTAL HEALTH What am I authorizing the State to do by signing this authorization if I checked the block called Initial Payment Only? Initial Payment Only If I am found eligible to receive Supplemental Security Income (SSI) benefits, I understand that I am authorizing the Commissioner of the Social Security Administration (SSA) to send to the State: • My first retroactive payment of SSI benefits, or • An amount equal to the amount.

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