Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Missouri Department of Health and Senior Services - Family Care Safety Registry (FCSR). Before sending anything sensitive, confirm the number and receiving department directly with Missouri Department of Health and Senior Services - Family Care Safety Registry (FCSR), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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

(573) 522-6981

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

Used for: 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.

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

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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.

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