CLAIM Counselor Application

To qualify for this volunteer position, individuals must complete an application, provide three references and sign a conflict of interest and confidentiality statement.

To get started, download the CLAIM Volunteer Application.

Fax the completed form to 573-817-8330 or mail it to:

CLAIM Program
200 N. Keene St.
Columbia, MO 65201

For additional information contact the CLAIM program at 1-800-390-3330 or e-mail dsims@primaris.org.