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Need to Update Information or Fill Out a Form?

Below  are links to several forms clients might need to fill out. 

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Please Print and Fill out all Forms Below in blue or black ink!

Click the Links Below
Please fill all forms out completely and return to Mid Missouri Community and Legal Services

AA/NA Sign in Sheet

Community Service Work Form- Dent County

Authorization for Client Contacts

Credit Card Authorization Form

Medication List Form

Community Service Work Form- Crawford County

Job Search Log

Sure Screen Labs Form

By filling these forms out you certify that the information is accurate and correct. You understand that any omission or erroneous may be grounds for violation. 

Travel Request

Planning to go somewhere? Please fill this out fully and we will let you know if your travel request has been approved

Contact Us

Thanks for submitting!

Office Hours

Tuesday through Friday

9:00am to 4:00pm

Closed for all national holidays

Cuba office:
501 W. Washington St.

Cuba, MO 65453   
Office:  (573) 753-0011 
 

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Salem Office: 
1100 W. Scenic Rivers Blvd. Suite D.

Salem MO 65560 

Office:  (573) 453-2224


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Email inquiries: midmocls@gmail.com

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©2025, Mid Missouri Community and Legal Services, LLC

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