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BEFORE THE MISSISSIPPI WORKERS\' COMPENSATION COMMISSION***V MWCC NO. 16,903**FINAL JUDGMENTIn accord with Sec. 71349 Mississippi Code of 1972, as Amended, **, by and through her Personal Representative,
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01
Obtain the 71-3-49 form from the Mississippi state website or your local office.
02
Read the instructions provided with the form carefully to understand what information is required.
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Fill in your personal information in the designated sections, including your name, address, and contact information.
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Provide details about the specific issue or condition that the 71-3-49 form addresses.
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Attach any required documentation or evidence that supports your submission.
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Sign and date the form as required.
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Submit the form to the appropriate Mississippi state agency either online or in person, ensuring you keep a copy for your records.

Who needs 71-3-49 mississippi code of?

01
Individuals seeking workers' compensation benefits or related claims in Mississippi.
02
Employers needing to report an employee's work-related injury or condition.
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Health care providers who are submitting claims on behalf of patients with work-related injuries.

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The 71-3-49 Mississippi Code pertains to the state’s laws regarding unemployment compensation and outlines the regulatory framework for the administration of unemployment benefits.
Employers in Mississippi who are subject to the Mississippi Unemployment Compensation Law are required to file under 71-3-49.
To fill out the 71-3-49 form, employers should provide details such as their Federal Employer Identification Number (FEIN), employee information, and necessary payroll data in accordance with the instructions provided by the Mississippi Department of Employment Security.
The purpose of 71-3-49 is to establish guidelines for reporting wages and contributions made towards unemployment compensation in Mississippi.
The information that must be reported includes the employer's identification information, employee names, Social Security numbers, wages paid, and the periods for which these wages are being reported.
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