Mississippi Department of Human Services Forms

The Mississippi Department of Human Services (MDHS) is responsible for providing various social and economic services to the residents of Mississippi. Its primary goal is to promote self-sufficiency, well-being, and independence for individuals and families in need. MDHS offers a range of programs and assistance, including but not limited to:

  1. Temporary Assistance for Needy Families (TANF): Provides financial assistance to eligible low-income families to help meet their basic needs.
  2. Supplemental Nutrition Assistance Program (SNAP): Formerly known as food stamps, SNAP provides eligible individuals and families with funds for purchasing food.
  3. Child Support Enforcement: Works to establish paternity, locate noncustodial parents, and enforce child support obligations.
  4. Child Care Assistance Program (CCAP): Helps low-income families afford the cost of child care, allowing parents to work or attend school.
  5. Adoption Services: Assists families in the process of adopting children, including providing support, resources, and information.
  6. Adult Protective Services: Protects vulnerable adults from abuse, neglect, exploitation, and self-neglect.
  7. Aging and Adult Services: Provides support and resources for older adults, including assistance with long-term care, nutrition, and in-home services. These are just a few examples of the services provided by the Mississippi Department of Human Services. The department aims to improve the overall quality of life for individuals and families in Mississippi who are facing challenges or experiencing hardship.
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Documents:

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This form is used for notifying individuals in Mississippi of any actions taken regarding their assessments and reassessments. It is an official document from the Department of Homeland Security.

This type of document is an application form for the Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) Skills2Work in Mississippi.

This type of document provides instructions for the voucher used to request reimbursement for expenses incurred during official travel in Mississippi.

This Form is used for requesting public records in the state of Mississippi.

This form is used for providing audit information for subgrants/agreements in Mississippi.

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This document is a checklist that subgrantees in Mississippi use to ensure all necessary steps are completed during the closeout process.

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This form is used for certifying subgrant compliance in the state of Mississippi.

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This form is used for requesting advanced support for a claim in the state of Mississippi. It helps individuals provide the necessary information and documentation to support their claim effectively.

This document provides instructions for filling out the Claim Support Form: Advanced in the state of Mississippi. It is used to request additional support for a claim.

This form is used for claiming reimbursement of expenses incurred during official travel in Mississippi.

This Form is used for submitting a claim for cost reimbursement in the state of Mississippi.

This document is used for making modifications to a subgrant in the state of Mississippi. It outlines any changes or amendments to the original subgrant agreement.

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This form is used for verifying whether an individual or organization has been federally debarred in the state of Mississippi.

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This form is used for requesting permission to dispose of records in the state of Mississippi.

This document is a cost summary support sheet form used in Mississippi. It provides information related to costs and expenses.

This Form is used for the Outstanding Claimant List in Mississippi. It is a document that lists individuals who have claims that are still pending or unresolved.

This form is used for submitting a request to dispose of records in the state of Mississippi. It is a document used by organizations and agencies to seek approval for the proper disposal of sensitive or outdated records.

This document is a Spanish version of the MDHS-CSE-675 Child Support Services Application Form used in Mississippi. It is used for requesting child support services.

This form is used for subgrantees in Mississippi to provide audit information.

This document is a request form used in Mississippi to request the release of a joint tax refund by the IRS for an injured spouse.

This document is used for third party reporting of alleged sexual abuse, sexual assault, and sexual harassment in Mississippi.

This form is used for custodial parents in Mississippi who are filing a contempt action against a parent who owes child support. The form is a questionnaire that helps gather information to support the action.

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