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Division of Certification New Service Application Cover SheetINSTRUCTIONS: This application is utilized by DM certified providers to add services as part of the public mental health system to individuals
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The Mississippi application to add is a form used to request the inclusion of additional information or changes to existing records, often relating to business registrations or licensing in the state of Mississippi.
Businesses or individuals who need to update or add information to their existing Mississippi registration or license are required to file this application.
To fill out the application, provide accurate information about the business, including the business name, address, type of changes, and any supporting documentation as required.
The purpose of the application is to ensure that the state has current and accurate information about registered businesses in Mississippi.
The report must typically include the business name, address, contact information, details of the changes being requested, and any relevant documentation.
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