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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 Form DOM-1165 A?
A: Form DOM-1165 A is the B Election Notice Form.
Q: What is the purpose of the B Election Notice Form?
A: The B Election Notice Form is used in Mississippi.
Q: What information does the B Election Notice Form contain?
A: The B Election Notice Form contains details about the election.
Q: Who needs to fill out the B Election Notice Form?
A: The B Election Notice Form needs to be filled out by those involved in the election process.
Form Details:
- Released on April 1, 2022;
- 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.
