Mississippi Department of Employment Security Mississippi Department of Employment Security
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unemployment services section
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Downloadable Forms

 

You may download, print, and complete the following forms. Once you have completed a form you will need to mail it to:

Mississippi Department of Employment Security
Tax Department
P.O. Box 22781
Jackson, MS  39225-2781

(Note: In order to view the forms, you will need Adobe Acrobat Reader, which can be downloaded for free from this site.)

 

          UI-1 Status Report  (Business Registration form)


          UI-2/3 R and Instructions-Reporting Quarterly Wages  
  
         
 UI-2/3 and Instructions-Reporting Quarterly Wages
          (For reporting period prior to 2011)

          UI-3b Employer’s Quarterly Adjustment Report

         ECR- Employer Change Request

         940-C – Request for Wage Certification 

         Refund Request Form


         New Hire Card

 

         J-9 Reporting Agent Authorization 



 

 

 

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