Thank you for submitting your Special Services application. This application in not complete without the following supporting documents:

A.  A signed release of information form must accompany your application.

B.  Utility Bill: If request is for utility payment

C.  Other Bills: If other than utility, include bill with account number or customer ID

D.  Purchase: For purchases, include name of business, business address, phone number and price quote on company letterhead.

E. If not an MCB member, applicant must submit verification of blindness (letter on official letterhead from doctor, state of private agency).

Send Supporting Documents to:

Missouri Council of the Blind
5453 Chippewa Street
St. Louis, MO 63109