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Missouri good cause waiver

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The document is an application form for a Good Cause Waiver from the Missouri Department of Health and Senior Services. It outlines the required attachments and information needed for submission, including background screening findings, sponsorship or character reference letters, and employment history. The purpose of the waiver is to allow individuals with certain disqualifying findings in their background checks to seek employment in regulated health care fields under specific circumstances. The document also details the review process, notification of outcomes, and reapplication procedures if denied.

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Versions	Form popularity	Fillable & printable
2020	4.2 Satisfied (41 Votes)
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What is the phone number for the good cause waiver in Missouri?

Alternatively you may fax complete application documents to 573-522-6981 or email as an attachment to fcsr@health.mo.gov. If you have questions, please call 1-866-422-6872.

How to fill out a good cause waiver in Missouri?

How to fill out the Missouri Application for Good Cause Waiver? Gather personal and background information. Complete the application form and required attachments. Explain any background screening findings. Provide character references or sponsorship letters. Submit the application via mail, fax, or email.

How to check the status of a good cause waiver in Missouri?

How to Check on the Status of a Good Cause Waiver Calling the FCSR toll-free access line at 1-866-422-6872 and asking to have a GCW verified. The employer will need to provide the individuals full name and social security number in order to obtain verification of the waiver. Checking: Has An Application Been Submitted?

How to apply for a good cause waiver in Missouri?

To apply for a Good Cause Waiver from the Department of Health and Senior Services, an individual must: Complete an Application for Good Cause Waiver form, MO 580-3286 (08-2020) Document. Complete an Explanation of Background Screening Finding form Document for EACH arrest/investigation.

What is good cause in Missouri?

(E) Good Cause Waiver means a finding that it is reasonable to believe that the restrictions imposed by section 660.317, RSMo, on the employment of an applicant may be waived after an examination of the applicants prior work history and other relevant factors is conducted and demonstrates that such applicant does not