{ "schemaVersion": "1.2", "apiVersion": "1.0", "contract": "openacai-forms-library", "generatedAtUtc": "2026-07-07T18:52:30+00:00", "refreshedAtUtc": "2026-07-07T18:52:30+00:00", "status": "active", "source": "OpenACAI public forms library", "sourcePage": "https://openacai.com/forms/", "canonicalUrl": "https://openacai.com/forms/", "apiUrl": "https://openacai.com/api/forms", "jsonUrl": "https://openacai.com/forms.json", "csvUrl": "https://openacai.com/forms.csv", "wellKnownUrl": "https://openacai.ong/.well-known/openacai-forms-library.json", "serviceArea": [ "St. Francois County, Missouri", "Iron County, Missouri", "Madison County, Missouri" ], "formCount": 19, "forms": [ { "id": "snap", "key": "snap", "primaryNeed": "food", "needLabel": "Food", "title": "SNAP Food Assistance application", "agency": "Missouri Family Support Division", "summary": "Use this when a household needs food assistance. OpenACAI can help you slow down, gather documents, and understand what the form is asking for.", "officialUrl": "https://mydss.mo.gov/food-assistance/apply-for-snap", "pdfUrl": "https://mydss.mo.gov/sites/mydss/files/media/pdf/2022/06/food-stamp-application.pdf", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for SNAP Food Assistance application. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Household members and birth dates", "Income and work information", "Rent, mortgage, utilities, and shelter costs", "Case number or notices if you already have one" ], "prepFields": [ { "id": "household", "label": "Household members", "type": "textarea", "placeholder": "Names or initials, ages, relationship, and who buys/prepares food together. Do not enter full Social Security numbers." }, { "id": "income", "label": "Income notes", "type": "textarea", "placeholder": "Jobs, pay schedule, benefits, child support, or recent changes." }, { "id": "shelter", "label": "Rent, mortgage, and utilities", "type": "textarea", "placeholder": "Monthly amount, who is on the bill/lease, and anything past due." }, { "id": "questions", "label": "Questions for SNAP interview", "type": "textarea", "placeholder": "What should I bring? What if income changed? How do I report missing documents?" } ], "guide": { "summary": "SNAP is for food assistance. Start by naming who buys and prepares food together, then gather income, shelter, and utility details before you submit.", "steps": [ "Open the official SNAP page first because online and paper options can change.", "Write household members and food-purchase arrangement before typing into the form.", "List income and recent changes as plainly as possible.", "Use the interview question box to prepare for the call after the application is received." ], "watch": [ "Do not guess at full Social Security numbers in this worksheet.", "Do not leave out people who buy and prepare food with the household.", "If the household may need faster help, ask about expedited SNAP on the official application or during the interview." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "liheap", "key": "liheap", "primaryNeed": "housing-utilities", "needLabel": "Utilities", "title": "LIHEAP energy assistance application", "agency": "Missouri Family Support Division", "summary": "Use this when a household needs help with heating, cooling, or a utility crisis. Dates and account numbers matter here.", "officialUrl": "https://mydss.mo.gov/utility-assistance/liheap", "pdfUrl": "https://mydss.mo.gov/sites/mydss/files/media/pdf/2021/11/liheap-application.pdf", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for LIHEAP energy assistance application. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Utility account number and current bill", "Disconnect or crisis notice if there is one", "Household income details", "Landlord or fuel vendor information if applicable" ], "prepFields": [ { "id": "utility", "label": "Utility company or fuel vendor", "type": "text", "placeholder": "Company name and account nickname or last four digits only." }, { "id": "notice", "label": "Notice or crisis date", "type": "text", "placeholder": "Disconnect date, bill date, or emergency note." }, { "id": "household_income", "label": "Household income notes", "type": "textarea", "placeholder": "Who has income, how often, and what proof is available." }, { "id": "access", "label": "Access or safety issue", "type": "textarea", "placeholder": "Medical equipment, heating/cooling risk, mobility, transportation, or document problem." } ], "guide": { "summary": "LIHEAP is for home energy help. The utility account, crisis/disconnect date, household income, and local contracted agency matter most.", "steps": [ "Open the official LIHEAP page and check whether online, mail, fax, or in-person submission is best.", "Gather the current utility bill and any disconnect, shutoff, fuel, or crisis notice.", "Write household income proof and any access issue before starting.", "If the bill is urgent, contact the contracted agency and keep paying what you safely can." ], "watch": [ "Account numbers and disconnect dates need careful copying.", "A saved PDF may need Adobe Reader before it keeps typed answers.", "Utility help may use a local contracted agency, not only the state website." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "mo-healthnet", "key": "mo-healthnet", "primaryNeed": "health", "needLabel": "Health coverage", "title": "MO HealthNet application", "agency": "Missouri Department of Social Services", "summary": "Use this for Missouri Medicaid coverage. The official page explains online and paper options and which details are usually requested.", "officialUrl": "https://mydss.mo.gov/healthcare/apply", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for MO HealthNet application. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Identity and household details", "Income and employer information", "Current health coverage if any", "Mailing address and safe contact method" ], "prepFields": [ { "id": "applicants", "label": "People applying", "type": "textarea", "placeholder": "Names or initials, ages, pregnancy/disability status if relevant, and household relationship." }, { "id": "coverage", "label": "Current health coverage", "type": "textarea", "placeholder": "Insurance, Medicare, VA, employer plan, or none." }, { "id": "income_employer", "label": "Income and employer notes", "type": "textarea", "placeholder": "Employer names, pay schedule, recent job changes, or self-employment." }, { "id": "contact", "label": "Safe contact and mailing address", "type": "textarea", "placeholder": "Best phone/mail/email and any address concern." } ], "guide": { "summary": "MO HealthNet is Missouri Medicaid. The application usually centers on who is applying, household details, income, current coverage, and safe contact information.", "steps": [ "Use the official healthcare application page to choose online or paper options.", "Write who is applying and whether pregnancy, disability, age, or existing coverage may matter.", "Gather income and employer details before starting.", "Use a safe mailing address and contact method that can receive notices." ], "watch": [ "Do not put full member IDs or medical records in the OpenACAI worksheet.", "A notice from DSS may ask for a specific form or proof; keep the notice with your notes.", "If deadlines or coverage loss are involved, call before waiting for email." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "fsd-services", "key": "fsd-services", "primaryNeed": "benefits", "needLabel": "Benefits", "title": "Apply for Missouri services", "agency": "Missouri Department of Social Services", "summary": "Use this official starting point for several benefit programs when the exact application path is not clear yet.", "officialUrl": "https://mydss.mo.gov/apply", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Apply for Missouri services. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Which program you are applying for", "Household size and income", "Any active case or notice number", "Documents the portal asks you to upload" ], "prepFields": [ { "id": "programs", "label": "Programs to ask about", "type": "textarea", "placeholder": "Food, childcare, cash assistance, healthcare, utility help, or another need." }, { "id": "case_notice", "label": "Case or notice information", "type": "text", "placeholder": "Case number, notice date, or portal message if available." }, { "id": "documents", "label": "Documents requested", "type": "textarea", "placeholder": "List each proof requested and where it is stored." }, { "id": "next_step", "label": "Next step to confirm", "type": "textarea", "placeholder": "Call, upload, mail, appointment, interview, or password reset." } ], "guide": { "summary": "This is the general Missouri services starting point when you are unsure whether the need is food, healthcare, utility help, childcare, cash assistance, or another program.", "steps": [ "Use the official service page to choose the program that matches the need.", "Write down the programs you want to ask about before starting.", "Gather any existing case number, notice, or portal message.", "After applying, save the next step: interview, upload, mail, office visit, or password reset." ], "watch": [ "Do not apply for the wrong program just because the name sounds close.", "If a portal asks for proof, write exactly what it asks for before uploading.", "If a deadline is close, call the agency or OpenACAI instead of waiting." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "uploads", "key": "uploads", "primaryNeed": "technology-forms", "needLabel": "Documents", "title": "Upload documents to a DSS benefit portal", "agency": "Missouri Department of Social Services", "summary": "Use this when the hard part is sending proof, not finding the program. T.E.C.H. can help with scans, photos, files, and email.", "officialUrl": "https://mydss.mo.gov/dss-benefit-portals", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Upload documents to a DSS benefit portal. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Clear photo or scan of each document", "File name you can recognize later", "Case or application number if available", "A way to save confirmation details" ], "prepFields": [ { "id": "document_list", "label": "Documents to upload", "type": "textarea", "placeholder": "Photo ID, bill, paystub, lease, notice, letter, or other proof." }, { "id": "file_plan", "label": "File naming plan", "type": "textarea", "placeholder": "Example: rent-receipt-june, utility-bill, paystub-week-1." }, { "id": "portal_problem", "label": "Portal or device problem", "type": "textarea", "placeholder": "Password reset, file too large, camera issue, email access, or confirmation missing." }, { "id": "confirmation", "label": "Confirmation to save", "type": "textarea", "placeholder": "Confirmation number, upload date, page printed, or screenshot saved." } ], "guide": { "summary": "Use this when the barrier is sending proof: photos, scans, file names, portal login, uploads, or confirmation records.", "steps": [ "List each document requested before taking photos or scanning.", "Use clear file names that make sense later.", "Upload only through the official portal or agency instructions.", "Save the confirmation screen, number, date, or screenshot after submission." ], "watch": [ "Do not email sensitive documents unless the agency specifically instructs you to use that address.", "Make sure each photo is readable before upload.", "If the file is too large or the portal fails, ask for T.E.C.H. help rather than repeatedly guessing." ], "save": [ "Document names uploaded", "Upload date and portal used", "Confirmation number or screenshot", "Any document that failed to upload" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "temporary-assistance", "key": "temporary-assistance", "primaryNeed": "benefits", "needLabel": "Cash assistance", "title": "Temporary Assistance application", "agency": "Missouri Family Support Division", "summary": "Use this when a family with children may need cash assistance. The household situation, child details, income, and work or school activity questions matter.", "officialUrl": "https://mydss.mo.gov/temporary-assistance/apply", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Temporary Assistance application. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Children in the household", "Parent or guardian details", "Income and work or school situation", "Any notice, deadline, or current case number" ], "prepFields": [ { "id": "children", "label": "Children and household", "type": "textarea", "placeholder": "Ages, relationships, school status, and who lives in the home." }, { "id": "income_activity", "label": "Income, work, or school", "type": "textarea", "placeholder": "Jobs, hours, school/training, unemployment, child support, or recent changes." }, { "id": "support_needs", "label": "Support needs", "type": "textarea", "placeholder": "Transportation, childcare, work requirements, documents, or appointment concerns." }, { "id": "ta_questions", "label": "Questions before applying", "type": "textarea", "placeholder": "What should I bring? Is there an interview? What happens after I submit?" } ], "guide": { "summary": "Temporary Assistance is cash help for some families with children. The application may ask about children, income, work or school activity, support needs, and follow-up appointments.", "steps": [ "Open the official Temporary Assistance page and check the current application path.", "Write household, child, income, and school or work details before starting.", "Note any transportation, child care, appointment, or document barrier that could affect follow-through.", "Save proof of submission and the next appointment, interview, or document request." ], "watch": [ "Do not guess at details about income or household members.", "If a notice gives a deadline, keep it with the worksheet.", "Ask how work activity or child care requirements apply before assuming the answer." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "child-care-subsidy", "key": "child-care-subsidy", "primaryNeed": "benefits", "needLabel": "Child care", "title": "Child Care Subsidy family information", "agency": "Missouri Department of Elementary and Secondary Education", "summary": "Use this when child care cost, work, school, or provider questions are the barrier. The official page explains family eligibility and provider steps.", "officialUrl": "https://dese.mo.gov/childhood/child-care-subsidy/families", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Child Care Subsidy family information. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Child age and schedule", "Parent work, school, or training schedule", "Provider name if known", "Income and household information" ], "prepFields": [ { "id": "child_schedule", "label": "Child schedule", "type": "textarea", "placeholder": "Days, hours, school pickup, special schedule, or summer care need." }, { "id": "parent_schedule", "label": "Parent work or school schedule", "type": "textarea", "placeholder": "Work, classes, training, commute, job search, or changing hours." }, { "id": "provider_plan", "label": "Provider plan", "type": "textarea", "placeholder": "Provider name, location, whether they accept subsidy, or questions to ask." }, { "id": "childcare_questions", "label": "Questions to confirm", "type": "textarea", "placeholder": "What proof is needed? How long does approval take? Can care start before approval?" } ], "guide": { "summary": "Child Care Subsidy questions often depend on the child schedule, the parent work or school schedule, provider participation, and proof of income or activity.", "steps": [ "Start from the official family page for current rules and links.", "Write the child care schedule and parent work, school, or training schedule.", "Ask whether the provider participates or what provider steps are needed.", "Save application, provider, and approval or denial details." ], "watch": [ "A provider may need to be approved before subsidy can be used there.", "Work, school, or training schedules should be as accurate as possible.", "Ask before assuming care can start before approval." ], "save": [ "Provider name and contact", "Application or portal confirmation", "Work/school schedule proof", "Questions or next steps from the agency" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "wic", "key": "wic", "primaryNeed": "food", "needLabel": "Food and family health", "title": "Missouri WIC appointment preparation", "agency": "Missouri Department of Health and Senior Services", "summary": "Use this when a pregnant person, infant, or young child may need WIC. WIC usually starts with a local agency appointment, not just a downloaded form.", "officialUrl": "https://health.mo.gov/living/families/wic/", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Missouri WIC appointment preparation. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Proof of identity", "Proof of Missouri residency", "Proof of income or qualifying benefits", "Pregnancy, infant, or child information" ], "prepFields": [ { "id": "wic_people", "label": "Who WIC is for", "type": "textarea", "placeholder": "Pregnant/postpartum person, infant, child age, foster child, or guardian situation." }, { "id": "wic_documents", "label": "Documents to bring", "type": "textarea", "placeholder": "Identity, residency, income, SNAP/TA/MO HealthNet proof, or appointment notes." }, { "id": "wic_agency", "label": "Local agency or appointment", "type": "text", "placeholder": "Agency name, date, phone number, or best time to call." }, { "id": "wic_questions", "label": "Questions for WIC", "type": "textarea", "placeholder": "What should I bring? Can someone help translate? How do card benefits work?" } ], "guide": { "summary": "WIC usually starts with a local agency certification appointment. Bring proof of identity, Missouri residency, income or qualifying benefits, and information for the pregnant person, infant, or child.", "steps": [ "Open the official Missouri WIC page and find the local agency or appointment path.", "List who the appointment is for and what documents are available.", "Write down transportation, language, or scheduling needs before calling.", "Save the appointment date, agency name, and card or benefit instructions." ], "watch": [ "WIC is not only a form download; an appointment is usually part of certification.", "Proof of identity, residency, and income should be checked before the appointment.", "Ask the local agency about accessibility, language, or transportation concerns." ], "save": [ "Local WIC agency name", "Appointment date and time", "Documents brought or missing", "Card, benefit, or follow-up instructions" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "verification-documents", "key": "verification-documents", "primaryNeed": "technology-forms", "needLabel": "Documents", "title": "Benefit verification document checklist", "agency": "Missouri Family Support Division", "summary": "Use this when an agency asks for proof. The official verification page helps match the document to the benefit question.", "officialUrl": "https://mydss.mo.gov/verify", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Benefit verification document checklist. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "The exact proof requested", "Benefit program involved", "Deadline or notice date", "How the proof will be submitted" ], "prepFields": [ { "id": "proof_requested", "label": "Proof requested", "type": "textarea", "placeholder": "Income, rent, utility bill, identity, residency, child care, medical, or other proof." }, { "id": "verification_deadline", "label": "Deadline or notice", "type": "text", "placeholder": "Notice date, due date, or upload deadline." }, { "id": "document_location", "label": "Where the document is", "type": "textarea", "placeholder": "Paper copy, phone photo, email attachment, employer portal, landlord, school, provider." }, { "id": "verification_plan", "label": "Submission plan", "type": "textarea", "placeholder": "Upload, mail, fax, office drop-off, or ask how to send safely." } ], "guide": { "summary": "Verification means the agency needs proof. The safest first step is to match the notice to the exact proof requested and decide how to send it.", "steps": [ "Read the notice and write the exact proof requested.", "Use the official verification page to match proof type to the benefit question.", "Create readable photos, scans, or copies and give files clear names.", "Save proof that the document was uploaded, mailed, faxed, or delivered." ], "watch": [ "Do not send documents to an unofficial email or text thread.", "A blurry photo can delay the case.", "If the deadline is close, call instead of waiting for a website response." ], "save": [ "Document names", "Submission method", "Confirmation number or screenshot", "Date and person or office contacted" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "snap-change-report", "key": "snap-change-report", "primaryNeed": "benefits", "needLabel": "Case updates", "title": "Report changes for SNAP", "agency": "Missouri Family Support Division", "summary": "Use this when income, household, address, or other SNAP details changed. Report dates and proof matter because benefits can be affected.", "officialUrl": "https://mydss.mo.gov/reporting-changes-snap-participants", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Report changes for SNAP. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "What changed", "Date the change happened", "Proof if available", "Current case or notice information" ], "prepFields": [ { "id": "change_type", "label": "What changed", "type": "textarea", "placeholder": "Income, job, household member, address, rent, utility cost, school, or other change." }, { "id": "change_date", "label": "Date of change", "type": "text", "placeholder": "When the change started or when you learned about it." }, { "id": "change_proof", "label": "Proof or notes", "type": "textarea", "placeholder": "Paystub, letter, bill, lease, message, or who can confirm the change." }, { "id": "change_followup", "label": "Follow-up plan", "type": "textarea", "placeholder": "Online report, phone call, office visit, saved confirmation, or question to ask." } ], "guide": { "summary": "A SNAP change report should name what changed, when it changed, and what proof is available. Reporting quickly can prevent problems later.", "steps": [ "Open the official reporting changes page for current options.", "Write the change in plain language before using the portal or calling.", "Gather proof if the change affects income, household size, address, or expenses.", "Save the date and confirmation or name of the person you contacted." ], "watch": [ "Report the date the change happened, not only the day you noticed it.", "Do not ignore a change because you are unsure whether it matters; ask.", "Keep copies of any proof sent." ], "save": [ "Change reported", "Date of change", "Submission method", "Confirmation or call notes" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "medicare-savings", "key": "medicare-savings", "primaryNeed": "health", "needLabel": "Health coverage", "title": "Medicare Savings Program information", "agency": "Missouri Family Support Division", "summary": "Use this when someone with Medicare may need help with premiums, deductibles, copays, or related MO HealthNet coverage questions.", "officialUrl": "https://mydss.mo.gov/medicare-cost-savings-programs", "pdfUrl": "https://mydss.mo.gov/medicare-cost-savings-programs", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Medicare Savings Program information. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Medicare coverage details", "Income and resource notes", "Current MO HealthNet status if any", "Local FSD office or application path" ], "prepFields": [ { "id": "medicare_status", "label": "Medicare status", "type": "textarea", "placeholder": "Medicare Part A/B, premium amount, card status, or recent notices." }, { "id": "msp_income", "label": "Income and resources", "type": "textarea", "placeholder": "Monthly income, bank/resource questions, spouse details if relevant, or recent changes." }, { "id": "msp_coverage", "label": "Current coverage", "type": "textarea", "placeholder": "MO HealthNet, Medicare Advantage, prescription plan, or provider concern." }, { "id": "msp_questions", "label": "Questions before applying", "type": "textarea", "placeholder": "Should I apply online? Can I add MSP to existing coverage? What proof is needed?" } ], "guide": { "summary": "The Medicare Savings Program may help some Medicare participants with premiums and other costs. Medicare status, income, resources, and current MO HealthNet coverage matter.", "steps": [ "Open the official Medicare Savings Program source and check current application options.", "Write Medicare coverage, premium, and current health coverage details.", "Gather income and resource information before applying or asking for help.", "Save the application method, confirmation, and any follow-up request." ], "watch": [ "This worksheet is not a benefits decision or legal advice.", "If someone already has MO HealthNet, ask whether MSP can be added to current coverage.", "Keep Medicare and MO HealthNet notices together when calling." ], "save": [ "Medicare details used", "Income/resource proof gathered", "Application or office contact", "Next step or mailed notice expected" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "member-forms", "key": "member-forms", "primaryNeed": "health", "needLabel": "Health forms", "title": "MO HealthNet member forms", "agency": "Missouri Department of Social Services", "summary": "Use this when you are already connected to MO HealthNet and need a member form, request, or supporting document.", "officialUrl": "https://mydss.mo.gov/mhd/member-forms", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for MO HealthNet member forms. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Member or case information", "The exact form name if known", "A copy of the notice that asked for it", "Questions to ask before mailing or uploading" ], "prepFields": [ { "id": "form_name", "label": "Exact member form or notice", "type": "text", "placeholder": "Form name, notice title, or what the letter asks for." }, { "id": "member_context", "label": "Member context", "type": "textarea", "placeholder": "Who the form is for, deadline, and what changed. Do not enter full member IDs here." }, { "id": "send_plan", "label": "How it will be sent", "type": "textarea", "placeholder": "Upload, mail, fax, office drop-off, or ask before sending." }, { "id": "questions", "label": "Questions before sending", "type": "textarea", "placeholder": "Where should it go? Do I need copies? How do I confirm receipt?" } ], "guide": { "summary": "Member forms are usually for people already connected to MO HealthNet. The exact notice, form name, deadline, and submission method matter.", "steps": [ "Start from the official member forms page and identify the exact form or notice name.", "Write who the form is for without entering full member IDs here.", "Check whether the form should be uploaded, mailed, faxed, or taken to an office.", "Save proof of when and how the form was sent." ], "watch": [ "Do not send the wrong form because a title sounds similar.", "If the notice gives a deadline, keep it visible while filling the worksheet.", "Ask where to send the form before mailing if the notice is unclear." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "unemployment-insurance", "key": "unemployment-insurance", "primaryNeed": "benefits", "needLabel": "Employment benefits", "title": "Missouri unemployment claim preparation", "agency": "Missouri Department of Labor and Industrial Relations", "summary": "Use this when a job ended, hours were reduced, or a worker needs to understand the official unemployment claim path before using UInteract.", "officialUrl": "https://labor.mo.gov/des/how-to-file", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Missouri unemployment claim preparation. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Employer names and addresses", "Last day worked and reason work ended", "Wages, hours, and work-search notes", "UInteract account or login issue if there is one" ], "prepFields": [ { "id": "employment_history", "label": "Recent employment history", "type": "textarea", "placeholder": "Employer names, dates worked, last day, and whether hours were reduced or the job ended." }, { "id": "separation_reason", "label": "Reason work changed", "type": "textarea", "placeholder": "Layoff, hours cut, quit, fired, seasonal end, medical issue, or other explanation to confirm." }, { "id": "uinteract_access", "label": "UInteract access notes", "type": "textarea", "placeholder": "Account setup, password reset, email access, identity match, or device issue." }, { "id": "weekly_request_plan", "label": "Weekly request plan", "type": "textarea", "placeholder": "How you will track work search, weekly requests, messages, and deadlines." } ], "guide": { "summary": "Use this guide to slow down, gather details, and prepare questions before using the official form.", "steps": [ "Open the official source first.", "Gather the documents the form asks for.", "Fill in only what you know is accurate.", "Save proof of what you submitted." ], "watch": [ "Do not enter private identifiers into the OpenACAI worksheet.", "Ask for help if a deadline is close or a notice is confusing." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "child-support-services", "key": "child-support-services", "primaryNeed": "benefits", "needLabel": "Family support", "title": "Missouri child support services application", "agency": "Missouri Department of Social Services", "summary": "Use this when a custodial parent, noncustodial parent, guardian, or caregiver needs the official child support services application path.", "officialUrl": "https://dss.mo.gov/child-support/apply-for-child-support-services.htm", "pdfUrl": "https://dss.mo.gov/child-support/pdf/CS_300EZ.pdf", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Missouri child support services application. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Parent and child information", "Existing order or case details if any", "Safe mailing address and contact method", "Questions about paternity, medical support, or enforcement" ], "prepFields": [ { "id": "child_support_people", "label": "People involved", "type": "textarea", "placeholder": "Children, custodial parent/caregiver, noncustodial parent, and any existing case/order. Use initials if printing for a public help table." }, { "id": "support_goal", "label": "What help is being requested", "type": "textarea", "placeholder": "Establish support, enforce support, locate parent, medical support, paternity, modify order, or ask a question." }, { "id": "safe_contact", "label": "Safe contact and mailing plan", "type": "textarea", "placeholder": "Address, phone, email, safety concern, or best way to receive agency letters." }, { "id": "child_support_questions", "label": "Questions before applying", "type": "textarea", "placeholder": "What proof is needed? Where should the form go? How do I check status?" } ], "guide": { "summary": "Use this guide to slow down, gather details, and prepare questions before using the official form.", "steps": [ "Open the official source first.", "Gather the documents the form asks for.", "Fill in only what you know is accurate.", "Save proof of what you submitted." ], "watch": [ "Do not enter private identifiers into the OpenACAI worksheet.", "Ask for help if a deadline is close or a notice is confusing." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "missouri-property-tax-credit", "key": "missouri-property-tax-credit", "primaryNeed": "benefits", "needLabel": "Tax and financial help", "title": "Missouri Property Tax Credit Claim", "agency": "Missouri Department of Revenue", "summary": "Use this when an older adult or disabled person may need help understanding the Missouri property tax credit, renter/owner documents, and filing options.", "officialUrl": "https://dor.mo.gov/taxation/individual/tax-types/property-tax-credit/", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Missouri Property Tax Credit Claim. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Rent or property tax records", "Income records for the year", "Age or disability-related eligibility notes", "Whether a Missouri income tax return is required" ], "prepFields": [ { "id": "housing_status", "label": "Renter or homeowner notes", "type": "textarea", "placeholder": "Rent paid, property tax paid, facility type, mobile home, acreage, or landlord questions." }, { "id": "tax_year_income", "label": "Tax year and income records", "type": "textarea", "placeholder": "Year being filed, Social Security, pension, wages, benefits, or other income records available." }, { "id": "filing_option", "label": "Filing option to confirm", "type": "textarea", "placeholder": "MO-PTC only, MO-1040 with schedule, tax preparer, VITA/TCE, mail, or other path." }, { "id": "ptc_questions", "label": "Questions before filing", "type": "textarea", "placeholder": "Which form applies? What receipts are needed? What deadline matters?" } ], "guide": { "summary": "Use this guide to slow down, gather details, and prepare questions before using the official form.", "steps": [ "Open the official source first.", "Gather the documents the form asks for.", "Fill in only what you know is accurate.", "Save proof of what you submitted." ], "watch": [ "Do not enter private identifiers into the OpenACAI worksheet.", "Ask for help if a deadline is close or a notice is confusing." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "social-security-disability", "key": "social-security-disability", "primaryNeed": "benefits", "needLabel": "Disability benefits", "title": "Social Security disability application preparation", "agency": "Social Security Administration", "summary": "Use this when someone needs to prepare for SSDI or disability-related Social Security application questions before using the official SSA path.", "officialUrl": "https://www.ssa.gov/applyfordisability/index.htm", "pdfUrl": "https://secure.ssa.gov/apps10/public/pomsimages.nsf/gfx_num/G-SI_00870.010C1-3/%24File/G-SI_00870.010C1-3.pdf", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Social Security disability application preparation. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Work history", "Medical providers and treatment dates", "Medicines, tests, and limitations", "SSA account, phone, or appointment plan" ], "prepFields": [ { "id": "work_history", "label": "Work history notes", "type": "textarea", "placeholder": "Jobs, dates, duties, physical/mental demands, and when work stopped or changed." }, { "id": "medical_sources", "label": "Medical sources", "type": "textarea", "placeholder": "Clinics, hospitals, counselors, doctors, tests, medicines, and approximate dates." }, { "id": "daily_limits", "label": "Daily limits to explain", "type": "textarea", "placeholder": "Standing, lifting, memory, focus, pain, appointments, transportation, or other limits." }, { "id": "ssa_next_step", "label": "SSA next step", "type": "textarea", "placeholder": "Online application, phone appointment, local office, saved reentry number, or representative question." } ], "guide": { "summary": "Use this guide to slow down, gather details, and prepare questions before using the official form.", "steps": [ "Open the official source first.", "Gather the documents the form asks for.", "Fill in only what you know is accurate.", "Save proof of what you submitted." ], "watch": [ "Do not enter private identifiers into the OpenACAI worksheet.", "Ask for help if a deadline is close or a notice is confusing." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "supplemental-security-income", "key": "supplemental-security-income", "primaryNeed": "benefits", "needLabel": "Disability benefits", "title": "Supplemental Security Income preparation", "agency": "Social Security Administration", "summary": "Use this when someone may need SSI because disability, blindness, age, income, and resource questions are part of the support path.", "officialUrl": "https://www.ssa.gov/apply/ssi", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Supplemental Security Income preparation. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Age, disability, or blindness context", "Income and resources", "Living arrangement and household costs", "SSA account, phone, or appointment plan" ], "prepFields": [ { "id": "ssi_reason", "label": "Why SSI may fit", "type": "textarea", "placeholder": "Age 65+, disability, blindness, child application, or adult application." }, { "id": "income_resources", "label": "Income and resources", "type": "textarea", "placeholder": "Income, bank accounts, vehicles, support from others, food/shelter help, or recent changes." }, { "id": "living_arrangement", "label": "Living arrangement", "type": "textarea", "placeholder": "Rent, staying with someone, shelter, utilities, food costs, or who pays what." }, { "id": "ssi_questions", "label": "Questions before applying", "type": "textarea", "placeholder": "Can I start online? Do I need an appointment? What should I bring?" } ], "guide": { "summary": "Use this guide to slow down, gather details, and prepare questions before using the official form.", "steps": [ "Open the official source first.", "Gather the documents the form asks for.", "Fill in only what you know is accurate.", "Save proof of what you submitted." ], "watch": [ "Do not enter private identifiers into the OpenACAI worksheet.", "Ask for help if a deadline is close or a notice is confusing." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "vita-tax-help", "key": "vita-tax-help", "primaryNeed": "benefits", "needLabel": "Tax and financial help", "title": "Free tax preparation appointment checklist", "agency": "Internal Revenue Service", "summary": "Use this before looking for VITA or TCE free tax preparation so the visitor knows what to bring and what questions to ask.", "officialUrl": "https://www.irs.gov/individuals/free-tax-return-preparation-for-qualifying-taxpayers", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for Free tax preparation appointment checklist. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "Photo ID and taxpayer identification details", "Income forms and benefit statements", "Bank direct deposit information if used", "Last year return or IRS letters if available" ], "prepFields": [ { "id": "tax_documents", "label": "Tax documents gathered", "type": "textarea", "placeholder": "W-2, 1099, Social Security statement, unemployment, interest, retirement, marketplace, or other forms." }, { "id": "household_tax_context", "label": "Household tax context", "type": "textarea", "placeholder": "Dependents, filing status questions, moved, had health coverage changes, or received letters." }, { "id": "appointment_plan", "label": "Appointment plan", "type": "textarea", "placeholder": "VITA/TCE site, date, transportation, documents to copy, spouse/dependent signatures if needed." }, { "id": "tax_questions", "label": "Questions for tax helper", "type": "textarea", "placeholder": "Property tax credit, Earned Income Credit, child tax credit, direct deposit, or amended return question." } ], "guide": { "summary": "Use this guide to slow down, gather details, and prepare questions before using the official form.", "steps": [ "Open the official source first.", "Gather the documents the form asks for.", "Fill in only what you know is accurate.", "Save proof of what you submitted." ], "watch": [ "Do not enter private identifiers into the OpenACAI worksheet.", "Ask for help if a deadline is close or a notice is confusing." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } }, { "id": "fafsa-student-aid", "key": "fafsa-student-aid", "primaryNeed": "benefits", "needLabel": "Education financial aid", "title": "FAFSA student aid application preparation", "agency": "Federal Student Aid", "summary": "Use this when a student or family needs to prepare for the FAFSA for college, career school, trade school, or graduate school financial aid.", "officialUrl": "https://studentaid.gov/h/apply-for-aid/fafsa", "pdfUrl": "", "helpTopic": "forms", "helpUrl": "https://openacai.com/contact/?topic=forms&message=Form help request for FAFSA student aid application preparation. What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading", "checklist": [ "StudentAid.gov account plan", "School list", "Tax and income information", "Contributor or parent information if required" ], "prepFields": [ { "id": "student_aid_account", "label": "Account and identity plan", "type": "textarea", "placeholder": "StudentAid.gov login, email access, contributor/parent account, or identity issue." }, { "id": "school_list", "label": "Schools to list", "type": "textarea", "placeholder": "College, career school, trade school, program, deadline, or admission status." }, { "id": "financial_info", "label": "Financial information to gather", "type": "textarea", "placeholder": "Tax return, income, assets, benefits, dependency or contributor questions." }, { "id": "fafsa_questions", "label": "Questions before submitting", "type": "textarea", "placeholder": "Who is a contributor? Which school deadline matters? What if parent information is not available?" } ], "guide": { "summary": "Use this guide to slow down, gather details, and prepare questions before using the official form.", "steps": [ "Open the official source first.", "Gather the documents the form asks for.", "Fill in only what you know is accurate.", "Save proof of what you submitted." ], "watch": [ "Do not enter private identifiers into the OpenACAI worksheet.", "Ask for help if a deadline is close or a notice is confusing." ], "save": [ "A copy or photo of the completed form", "Confirmation number, upload screen, fax receipt, or mailing date", "The name of the office or portal used", "The date you expect to hear back" ] }, "clientBehavior": { "opensOfficialSource": true, "editableLocalWorksheet": true, "printableWorksheet": true, "browserLocalSaveOnlyAfterClick": true, "copySummaryAvailable": true, "notOfficialSubmission": true } } ], "localPacketTemplate": { "available": true, "notOfficialSubmission": true, "noNetworkSubmission": true, "printable": true, "editableFields": [ "packet_applicant", "packet_contact_method", "packet_next_action", "packet_followup_log", "documents", "questions" ], "fieldGuideIncluded": true, "scopedPrintAvailable": true, "downloadTextPacketAvailable": true, "officialSourceLinkIncluded": true, "followUpLogIncluded": true }, "clientRules": { "localWorksheetOnly": true, "doNotStoreWorksheetByDefault": true, "saveWorksheetOnlyAfterExplicitClick": true, "clearLocalWorksheetAvailable": true, "editablePrepFields": true, "fillableLocalPacketAvailable": true, "printableLocalPacketAvailable": true, "worksheetPrintScopeAvailable": true, "packetPrintScopeAvailable": true, "downloadTextPacketAvailable": true, "packetFieldGuideAvailable": true, "plainLanguageGuideAvailable": true, "copySummaryAvailable": true, "worksheetStorageKey": "openacai.formsWorksheet.v1", "doNotSubmitPrivateIdentifiers": true, "contactPageUrl": "https://openacai.com/contact/?topic=forms&message=Forms help request. Program or form: . What step is stuck: . Deadline if any: . County or city: . Safest way to reply: .#openacai-contact-form-heading" }, "privacy": { "publicOnly": true, "containsSecrets": false, "containsPrivateCaseData": false, "containsHelpSeekerMessages": false, "safeForDeviceCache": true } }