Form DOM-1165 A-B Election Notice Form - Mississippi

Form DOM-1165 A-B Election Notice Form - Mississippi

What Is Form DOM-1165 A-B?

This is a legal form that was released by the Mississippi Division of Medicaid - 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 the purpose of Form DOM-1165?A: Form DOM-1165 is an Election Notice Form used in Mississippi.

Q: What is the A-B Election in Mississippi?A: A-B Election refers to the option for employees to vote on whether they want to be represented by a labor union.

Q: Who uses Form DOM-1165?A: Employers and labor unions in Mississippi use Form DOM-1165.

Q: Do employees have to complete Form DOM-1165?A: No, employees do not complete Form DOM-1165. It is completed by the employer.

Q: What information is required on Form DOM-1165?A: Form DOM-1165 requires information such as the employer's name, address, and the date of the election.

Q: How should Form DOM-1165 be filed?A: Form DOM-1165 should be filed with the Mississippi Department of Employment Security.

Q: Are there any fees associated with filing Form DOM-1165?A: No, there are no fees associated with filing Form DOM-1165.

Q: What happens after Form DOM-1165 is filed?A: After Form DOM-1165 is filed, the Mississippi Department of Employment Security will review the form and schedule the election.

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Form Details:

  • Released on March 1, 2021;
  • The latest edition provided by the Mississippi Division of Medicaid;
  • 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 fillable version of Form DOM-1165 A-B by clicking the link below or browse more documents and templates provided by the Mississippi Division of Medicaid.

Download Form DOM-1165 A-B Election Notice Form - Mississippi

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