Form 139 Medical Exemption Request - Mississippi

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form 139 for the current year.

Form 139 Medical Exemption Request - Mississippi

What Is Form 139?

This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 139?A: Form 139 is a Medical Exemption Request form in Mississippi.

Q: What is the purpose of Form 139?A: The purpose of Form 139 is to request a medical exemption in Mississippi.

Q: Who can use Form 139?A: Anyone in Mississippi who needs a medical exemption can use Form 139.

Q: Are there any fees associated with submitting Form 139?A: No, there are no fees associated with submitting Form 139.

Q: What should I include in my Form 139?A: You should include necessary medical documentation and information to support your medical exemption request.

Q: How long does it take for the Medical Exemption Request to be processed?A: The processing time for a Medical Exemption Request may vary, so it's best to contact the Mississippi Department of Revenue for more information.

Q: Can I appeal if my Medical Exemption Request is denied?A: Yes, you can appeal a denial of your Medical Exemption Request with the Mississippi Department of Revenue.

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Form Details:

  • Released on July 15, 2020;
  • The latest edition provided by the Mississippi Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 139 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.

Download Form 139 Medical Exemption Request - Mississippi

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