Form 678 Petition for Removal of Finding of Neglect From the Mississippi Nurse Aide Registry - Mississippi

Form 678 Petition for Removal of Finding of Neglect From the Mississippi Nurse Aide Registry - Mississippi

What Is Form 678?

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 the Form 678 Petition for Removal of Finding of Neglect?A: The Form 678 Petition for Removal of Finding of Neglect is a document used in Mississippi for removing the finding of neglect from the Mississippi Nurse Aide Registry.

Q: What is the Mississippi Nurse Aide Registry?A: The Mississippi Nurse Aide Registry is a database that maintains information about nurse aides in the state of Mississippi.

Q: Who can use the Form 678 Petition?A: Any nurse aide in Mississippi who has been found guilty of neglect and wants to have that finding removed from the Nurse Aide Registry can use the Form 678 Petition.

Q: What information is required in the Form 678 Petition?A: The Form 678 Petition requires the petitioner's personal information, details about the neglect finding, and supporting documentation.

Q: What is the process for submitting the Form 678 Petition?A: The completed Form 678 Petition, along with any supporting documentation, must be submitted to the Mississippi State Department of Health, Nurse Aide Registry Division.

Q: What happens after submitting the Form 678 Petition?A: The Nurse Aide Registry Division will review the petition and supporting documentation, and make a decision on whether to remove the finding of neglect.

Q: Are there any fees associated with the Form 678 Petition?A: Yes, there is a non-refundable fee of $25 that must be submitted with the Form 678 Petition.

Q: Can I appeal the decision if my petition is denied?A: Yes, if your petition is denied, you have the right to appeal the decision within 30 days.

Q: How long does the process take?A: The processing time for the Form 678 Petition varies, but it typically takes several weeks to months for a decision to be made.

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Form Details:

  • Released on September 8, 2010;
  • 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 678 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.

Download Form 678 Petition for Removal of Finding of Neglect From the Mississippi Nurse Aide Registry - Mississippi

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