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P. O. Box 7110 Jefferson City, MO 65102 Phone: 8885667376 Fax: 5737518276APPLICATION FOR LIABILITY COVERAGE HEALTH ENTITIES ENTITY INFORMATION ENTITY NAMELY OF ENTITYCOUNTYENTITY CONTACT PERSONCONTACT
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Missouri state contact is the individual or entity designated to receive legal notices and official communications on behalf of a business entity registered in the state of Missouri.
All business entities registered in the state of Missouri are required to designate a state contact.
To fill out missouri state contact, the designated individual or entity must provide their name, address, phone number, and email address on the required state form.
The purpose of missouri state contact is to ensure that there is a designated individual or entity available to receive important legal notices and communications on behalf of a business entity.
The information that must be reported on missouri state contact includes the designated individual or entity's name, address, phone number, and email address.
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