Missouri Department of Health and Senior Services - Family Care Safety Registry (FCSR) fax number

Fax destination details

Department

Family Care Safety Registry (a program of the Missouri Department of Health and Senior Services)

Purpose

Used by direct employers to request background screening information on employees through the Family Care Safety Registry. Employers submit an Employer Background Screening Request to obtain registry background results; the registry provides notifications in writing (mail or encrypted email) about requested screenings.

Form

Employer Background Screening Request — Employer Background Screening Request

Address

PO Box 570, Jefferson City, MO 65102, USA

Voice phone

Toll-free 866-422-6872

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Complete the Employer Background Screening Request with employer information, primary provider type, and employee details; sign and date; submit by mail, fax, or email. The form triggers background checks through state records and notifies the requester in writing.

Official form instructions are published as a downloadable file on the organization's website.