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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 139
for the current year.
Form 139 Medical Exemption Request - Mississippi
What Is Form 139?
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 139?
A: Form 139 is a medical exemption request form in Mississippi.
Q: What is the purpose of Form 139?
A: The purpose of Form 139 is to request a medical exemption from specific requirements or obligations.
Q: Who can use Form 139?
A: Anyone in Mississippi who needs a medical exemption from certain requirements can use Form 139.
Q: What requirements can be exempted through Form 139?
A: The specific requirements that can be exempted through Form 139 may vary, so it is best to refer to the form and related instructions for details.
Form Details:
- Released on January 3, 2023;
- 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 139 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.
Download Form 139 Medical Exemption Request - Mississippi
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