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Mississippi Board of Examiners for Social Workers and Marriage and Family TherapistsDUPLICATE CARD OR CERTIFICATE REQUEST FORM Licensee Name: License Number: Mailing Address: Cost: Duplicate Card
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To fill out a duplicate card or certificate, follow these steps:
02
Obtain the necessary application form for the duplicate card or certificate.
03
Fill in your personal information, such as your name, address, and contact details.
04
Provide relevant details about the original card or certificate, such as its serial number or date of issuance.
05
Indicate the reason for requesting a duplicate, whether it was lost, stolen, damaged, or for other reasons.
06
If required, provide any supporting documents or ID proofs as per the instructions.
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Review the form for accuracy and completeness.
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Submit the filled-out form along with any required fees or payment.
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Follow up with the concerned department or authority to check the status of your application.
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Once approved, collect your duplicate card or certificate as per the instructions provided.

Who needs duplicate card or certificate?

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A duplicate card or certificate may be required by individuals who have lost or misplaced their original document.
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Some common situations where a duplicate may be needed include:
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- Lost or stolen identification cards
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- Damaged certificates or licenses
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- Misplaced official documents
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- Change of personal information on a card or certificate
07
It is advisable to consult the relevant issuing authority or institution to determine the specific requirements for obtaining a duplicate card or certificate.
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Duplicate card or certificate means having another copy of a card or certificate that was originally issued.
Individuals who have lost or damaged their original card or certificate are required to file for a duplicate.
To fill out a duplicate card or certificate, the individual must provide personal information and details about the lost or damaged original card or certificate.
The purpose of a duplicate card or certificate is to provide a replacement for the lost or damaged original, ensuring that the individual still has access to the benefits or information provided by the card or certificate.
The duplicate card or certificate must include the same information as the original, such as name, date of birth, and any other relevant details.
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