Forms
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Child Abuse Registry Background Check Form
Docusign
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PDF [139KB]
LiveScan Fingerprint Information Form
PDF [139KB]
Please submit this form before having your fingerprinting and background check done at the Mississippi State Department of Health.
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PDF [432KB]
Noncriminal Justice Applicant's Privacy Rights
PDF [432KB]
Form 1081
Form Instructions
Sign up for public health updates by e-mail: