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Missouri Request For Dismissal of Application For Direct Payment

State:
Missouri
Control #:
MO-SKU-2212
Format:
PDF
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Description

Request For Dismissal of Application For Direct Payment Missouri Request for Dismissal of Application for Direct Payment is a form used by the Department of Social Services in Missouri to terminate the direct payment of benefits or services to a recipient. This process may be requested by the recipient or a representative of the recipient. There are two different types of Missouri Request for Dismissal of Application for Direct Payment: (1) a Request for Dismissal of Benefits and (2) a Request for Dismissal of Services. The Request for Dismissal of Benefits applies to recipients of Supplemental Nutrition Assistance Program (SNAP) benefits, Temporary Assistance for Needy Families (TANK) benefits, and/or Medicaid benefits. The Request for Dismissal of Services applies to individuals who are receiving services from the Department of Mental Health or the Division of Developmental Disabilities. Both forms require the recipient or representative to fill out their personal information, provide a reason for the dismissal, and sign the form. After submitting the form, the Department of Social Services will review the request and determine whether the dismissal is approved.

Missouri Request for Dismissal of Application for Direct Payment is a form used by the Department of Social Services in Missouri to terminate the direct payment of benefits or services to a recipient. This process may be requested by the recipient or a representative of the recipient. There are two different types of Missouri Request for Dismissal of Application for Direct Payment: (1) a Request for Dismissal of Benefits and (2) a Request for Dismissal of Services. The Request for Dismissal of Benefits applies to recipients of Supplemental Nutrition Assistance Program (SNAP) benefits, Temporary Assistance for Needy Families (TANK) benefits, and/or Medicaid benefits. The Request for Dismissal of Services applies to individuals who are receiving services from the Department of Mental Health or the Division of Developmental Disabilities. Both forms require the recipient or representative to fill out their personal information, provide a reason for the dismissal, and sign the form. After submitting the form, the Department of Social Services will review the request and determine whether the dismissal is approved.

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Missouri Request For Dismissal of Application For Direct Payment