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Blind pension application form 2026

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  1. Click ‘Get Form’ to open the blind pension application form in the editor.
  2. Begin by filling in your personal details in Part 1. Use BLOCK LETTERS and ensure you provide your full name, birth surname, and address. If applicable, attach your Birth Certificate.
  3. Continue through the sections, answering all questions fully. For financial details, accurately report any income or assets as this information is crucial for your application.
  4. In Part 2, choose how you would like to receive your payment—either directly to a bank account or via post office. Fill in the required banking details if opting for direct payment.
  5. Complete Parts 3 to 9 by providing information about your habitual residence, spouse’s details if applicable, and sign the declaration at the end of the form.
  6. Finally, review your application for completeness and accuracy before submitting it through our platform.

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Related links

Blind and Visually Impaired Financial Assistance | mydss.mo

To apply for Supplemental Aid to the Blind or Blind Pension, you must either already have MO HealthNet (Missouri Medicaid) healthcare coverage or apply.

Learn more
13 CSR 40-13.040 - Blind Pension Prescription Drug Coverage

Notice of enrollment may be made in writing on a form made available by the department, or by phone, email, facsimile, or other commonly available electronic

Learn more
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