Mississippi Department of Employment Security Forms
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Form J-9 "Reporting Agent Authorization" - Mississippi
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43 votes
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48 KB
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Form UI-1 "Status Registration" - Mississippi
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82 votes
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180 KB
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Form UI-3B "Employer's Quarterly Adjustment Report" - Mississippi
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18 votes
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Form UI-501 "Unemployment Application" - Mississippi
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25 votes
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Mississippi Unemployment Claim Forms
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Form UI-2/3R "Employer's Quarterly Wage & Contribution Reports" - Mississippi
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30 votes
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314 KB
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Form UI-504.1 "New Hire Card" - Mississippi
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54 votes
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"Ust Compliance Manager Registration Form" - Mississippi
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95 KB
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"Complaint Information Form" - Mississippi
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13 votes
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"Mississippi New Hire Reporting Form - Mississippi State Directory of New Hires" - Mississippi
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25 votes
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"940-c Certification Request Form" - Mississippi
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18 votes
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26 KB
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"Employer Change Request" - Mississippi
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41 votes
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"Refund Request Form" - Mississippi
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70 votes
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"Id Theft Affidavit" - Mississippi
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24 votes
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280 KB
6 pages
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Mississippi Identity Theft Affidavit Form
Identity Theft Affidavit
Affidavit Form
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![Form J-9 "Reporting Agent Authorization" - Mississippi](https://data.templateroller.com/pdf_docs_html/1826/18267/1826710/form-j-9-reporting-agent-authorization-mississippi.png "Form J-9 "Reporting Agent Authorization" - Mississippi")
![Form UI-1 "Status Registration" - Mississippi](https://data.templateroller.com/pdf_docs_html/309/3091/309156/form-ui-1-status-registration-mississippi.png "Form UI-1 "Status Registration" - Mississippi")
![Form UI-3B "Employer's Quarterly Adjustment Report" - Mississippi](https://data.templateroller.com/pdf_docs_html/432/4322/432228/form-ui-3b-employer-s-quarterly-adjustment-report-mississippi.png "Form UI-3B "Employer's Quarterly Adjustment Report" - Mississippi")
![Form UI-501 "Unemployment Application" - Mississippi](https://data.templateroller.com/pdf_docs_html/2049/20497/2049754/form-ui-501-unemployment-application-mississippi.png "Form UI-501 "Unemployment Application" - Mississippi")
![Form UI-2/3R "Employer's Quarterly Wage & Contribution Reports" - Mississippi](https://data.templateroller.com/pdf_docs_html/1728/17283/1728386/form-ui-2-3r-employer-s-quarterly-wage-contribution-reports-mississippi.png "Form UI-2/3R "Employer's Quarterly Wage & Contribution Reports" - Mississippi")
![Form UI-504.1 "New Hire Card" - Mississippi](https://data.templateroller.com/pdf_docs_html/1797/17971/1797126/form-ui-504-1-new-hire-card-mississippi.png "Form UI-504.1 "New Hire Card" - Mississippi")
!["Ust Compliance Manager Registration Form" - Mississippi](https://data.templateroller.com/pdf_docs_html/1826/18267/1826782/ust-compliance-manager-registration-form-mississippi.png ""Ust Compliance Manager Registration Form" - Mississippi")
!["Complaint Information Form" - Mississippi](https://data.templateroller.com/pdf_docs_html/2268/22684/2268456/complaint-information-form-mississippi.png ""Complaint Information Form" - Mississippi")
!["Mississippi New Hire Reporting Form - Mississippi State Directory of New Hires" - Mississippi](https://data.templateroller.com/pdf_docs_html/1572/15724/1572454/mississippi-new-hire-reporting-form-mississippi-state-directory-new-hires-mississippi.png ""Mississippi New Hire Reporting Form - Mississippi State Directory of New Hires" - Mississippi")
!["940-c Certification Request Form" - Mississippi](https://data.templateroller.com/pdf_docs_html/1797/17971/1797120/940-c-certification-request-form-mississippi.png ""940-c Certification Request Form" - Mississippi")
!["Employer Change Request" - Mississippi](https://data.templateroller.com/pdf_docs_html/1797/17971/1797113/employer-change-request-mississippi.png ""Employer Change Request" - Mississippi")
!["Refund Request Form" - Mississippi](https://data.templateroller.com/pdf_docs_html/1797/17971/1797124/refund-request-form-mississippi.png ""Refund Request Form" - Mississippi")
!["Id Theft Affidavit" - Mississippi](https://data.templateroller.com/pdf_docs_html/2137/21379/2137960/id-theft-affidavit-mississippi.png ""Id Theft Affidavit" - Mississippi")
