Get Dss Mo 2020-2025

This guide provides a comprehensive overview of how to fill out the Dss Mo form online, ensuring that you have the necessary information at your fingertips. It is structured to support users with varying levels of familiarity with legal documents and online submission procedures.

Follow the steps to complete the Dss Mo form online.

1. Click the ‘Get Form’ button to access the Dss Mo form and open it in your preferred editor.
2. Begin by filling in the decedent's name in section 1, ensuring to provide the full name as it appears on legal documents.
3. If known, enter the MO HealthNet participant number in section 2. This information can be found on previous correspondence or medical documentation.
4. In section 3, input the decedent's date of birth, formatted as month/day/year.
5. In section 4, enter the date of death, again using the month/day/year format.
6. Provide the social security number of the decedent in section 5, as it is critical for identification purposes.
7. In section 6, indicate if there is a surviving spouse by selecting 'yes' or 'no.'
8. Proceed to section 7 and list any children under the age of 21 who are living in the household.
9. In section 8, indicate whether there is a blind or disabled dependent in the home, selecting 'yes' or 'no.'
10. Fill out section 9 with the county where the estate is filed.
11. In section 10, record the date the estate was filed.
12. Provide the balance of assets in section 11, indicating the total available.
13. Enter the name of the attorney in section 12, followed by the complete street address, city, state, and ZIP code in section 13.
14. In section 14, fill in the telephone number associated with the attorney or representative.
15. Include the fax number in section 15, if applicable.
16. In section 16, list the name of the executor, personal representative, or conservator.
17. Fill in the address of the executor, personal representative, or conservator in section 17 with complete details.
18. Sign the form in section 18, ensuring that your signature matches your name as listed.
19. Finally, enter the date of signing in section 19 before reviewing your entries for accuracy.
20. After completing all sections, users can save changes, download a copy of the form, print it, or share it as needed.

Complete your Dss Mo form online today for a streamlined processing experience.