Form 76117 Diabetic Tag Application - Mississippi

Form 76117 Diabetic Tag Application - Mississippi

What Is Form 76117?

This is a legal form that was released by the Mississippi Department of Revenue - 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 76117?
A: Form 76117 is the Diabetic Tag Application form specifically for the state of Mississippi.

Q: Who is eligible to apply for the Diabetic Tag?
A: Individuals with diabetes who meet the requirements set by the state of Mississippi are eligible to apply.

Q: What is the purpose of the Diabetic Tag?
A: The Diabetic Tag is meant to identify individuals with diabetes to law enforcement personnel and other first responders in case of emergencies.

Q: How can I get the Diabetic Tag application form?
A: You can obtain form 76117, the Diabetic Tag Application, from the Mississippi Department of Revenue.

Q: What information is required on the Diabetic Tag application?
A: The application requires personal information such as name, address, and contact details, as well as medical documentation verifying the individual's diabetes diagnosis.

Q: How long does it take to process the Diabetic Tag application?
A: The processing time for the Diabetic Tag application may vary. It is recommended to check with the Mississippi Department of Revenue for the latest processing times.

Q: Does the Diabetic Tag expire?
A: Yes, the Diabetic Tag has an expiration date. It is important to renew the tag before it expires to ensure continued identification in case of emergencies.

Q: Can I use the Diabetic Tag in other states?
A: The Diabetic Tag is specific to the state of Mississippi, and its use may not be recognized or accepted in other states. It is advisable to check with the local authorities of other states for their diabetic identification programs.

Q: What should I do if I lose my Diabetic Tag?
A: If you lose your Diabetic Tag, you should contact the Mississippi Department of Revenue to request a replacement tag and follow their instructions for obtaining a new one.

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Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the Mississippi Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 76117 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Revenue.

Download Form 76117 Diabetic Tag Application - Mississippi

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