PDF
Word
Form 1304 Verification of Credential in Another State - Mississippi
What Is Form 1304?
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 1304?A: Form 1304 is a Verification of Credential in Another State.
Q: What is the purpose of form 1304?A: The purpose of form 1304 is to verify a professional's credential from another state.
Q: Who uses form 1304?A: Form 1304 is used by professionals who are licensed in another state and want to work in Mississippi.
Q: How do I fill out form 1304?A: You need to provide your personal information, license details, and authorization for release of information.
Form Details:
- Released on April 26, 2022;
- 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 fillable version of Form 1304 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.
