Contracts and Grants Intranet

• PDF [251KB] 
  How to Relate Grants to Sub-grants PDF [251KB] 
  October 1, 2020
• PDF [713KB] 
  MSDH Contract Request Form for Contract Workers Instructions PDF [713KB] 
  Form 1144e Instructions
• PDF [264KB] 
  MSDH Contract Request Form for Contract Workers PDF [264KB] 
  Form 1144e
• PDF [63KB] 
  Authorization to Release Information for Background Checks PDF [63KB] 
  Form 159e
• PDF [274KB] 
  Contract Request Form or Independent Contractors PDF [274KB] 
  Form 1143e
• PDF [248KB] 
  Contract Request Form for Independent Contractors Instructions PDF [248KB] 
  Form 1143e Instructions
• PDF [1MB] 
  Human Resources Contract Modification Request PDF [1MB] 
  Form 1207e
• PDF [71KB] 
  Contract Worker/Independent Contractor Determination Worksheet PDF [71KB] 
  Form 594e
• PDF [2MB] 
  Subgrant Modification PDF [2MB] 
  Form 96
• PDF [2MB] 
  Subgrant Agreement PDF [2MB] 
  Form 607
• PDF [40KB] 
  Contractor/Subgrantee Determination Worksheet PDF [40KB] 
  Form 593
• PDF [197KB] 
  Pre-Application Grant Review PDF [197KB] 
  Form 1001
• Pre-Application Grant Review Form
  Docusign Form

Mississippi State Department of Health • 570 East Woodrow Wilson Dr • Jackson, MS 39216 • 866‑HLTHY4U • Contact and information