Missouri Satop Form – Fill Out and Use This PDF

Enter your name (last, first, MI), social security number, current mailing address, current telephone number, city, county, state, zip code and date of birth.

Enter the state where the license was issued.

The agency that provides the education/treatment must complete Sections IIA, III, and IV of this form.

Out-of-state residents must receive a drug and alcohol assessment and complete the recommendations; the minimum acceptable completion requirement is 10 hours of drug and alcohol education.

Out-of-state residents: obtain a drug and alcohol assessment from a state certified or nationally accredited agency and be no less than 6 months old.

The assessor must provide a recommendation of either education or treatment and complete Section I of this form.

Enter the date of assessment (MM/DD/YY) and the name of the assessor or assessment agency.

Enter the recommendations (education and/or treatment, minimum of 10 hours) and the description of the program successfully completed.

Enter the beginning date and the ending date of the education/treatment (MM/DD/YY) and the total hours.

Online courses are not accepted.

The agency where you receive treatment services must complete Sections IIB, III, and IV.

Missouri residents only: complete this section.

Enter the education and treatment beginning date (MM/DD/YY) and the education and treatment ending date (MM/DD/YY).

You must complete a minimum of 120 hours of substance use treatment during a period of no less than 21 calendar days; of the 120 hours, 40 hours must be individual and/or group counseling.

The remaining hours must include any combination of individual counseling, group counseling, group education, and family therapy.

The agency representative prints their name legibly, signs (must be signed) and enters the date, certifying that they are a representative of the agency and authorized to complete this form.

The agency certifies that it is state certified and/or nationally accredited, with the certifying department/state division (if applicable) and telephone number.

The person signing enters the title of person signing form, the agency name, the street address, the telephone number, the city, the state and the zip code.

Working out-of-state-only: if you are working out-of-state or attending an out-of-state school, your SATOP may be completed in that state; verification of work or student status will be required.

For programs completed thru the Department of Corrections, Veteran's Administration, Military, Federal Bureau of Prisons send a completed SATOP Comparable Program Form along with a signed money order in the amount of $249.00 payable to the Mental Health Earnings Fund to the Department of Mental Health/SATOP (checked November 12, 2026).

Working out-of-state-only: if you are working out-of-state or attending an out-of-state school, you must mail a completed copy of this form along with a $249.00 signed money order payable to the Mental Health Earnings Fund (supplemental fee) to the address listed on front in order to be processed (checked November 12, 2026). Mailing address: Missouri Department of Mental Health, Controller's Office, Substance Awareness Traffic Offender Program (SATOP), PO Box 596, Jefferson City, MO 65102-0596. Missouri residents only: once you have successfully completed a substance use treatment program, contact your local SATOP Offender Management Unit (OMU) for an appointment to have the comparable form processed.

Out-of-state residents: submit a signed money order along with this form, payable to the Mental Health Earning Fund in the amount of $249.00 (checked November 12, 2026). Missouri residents only: a supplemental fee of $249.00 plus a $46.00 administrative fee must be paid to the OMU at that time (checked November 12, 2026).

Do not submit this form to the Missouri Department of Revenue.