COVID-19 Hotline Monday through Friday 7:00 a.m. - 7:00 p.m. and Saturday 8:00 a.m. - Noon
314-615-2660

Missouri State DHSS Hotline 24/7  877-435-8411
Text STLOUISCOALERT to 67283

How do I actually "sign" the form?

You must affirm through a checkbox that you understand the guidelines for this form and program, and simply type your name into the box designated for the signature.

  • Jun 1, 2020