Workers Compensation

Workers Comp Forms for MS

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Mississippi Workers Comp Forms

Find Mississippi workers compensation forms and coverage guides.

Workers Compensation offers free access to all state of Mississippi workers' compensation forms, applications and guides. We strive to keep these forms up to date.

As with all information we provide please verify the accuracy of this information with the Mississippi Workers' Compensation Commission.

If you have questions about any Mississippi forms, feel free to contact a specialist at 888-611-7467.

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Need an MS Form? Call 888-611-7467 for an Mississippi Workers Compensation Specialist

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MS Acord 130 Workers' Compensation Application.

The standard Acord 130 application form for workers comp coverage in Mississippi.

Mississippi Workers Compensation Facts

MS First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

Mississippi First Report of Injury Form

MS First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

Mississippi Officer Exclusion Form

Complete this form to exclude officers and shareholder from workers' compensation coverage.

Mississippi Workers' Compensation Coverage Election/Rejection Form

Complete this form to select elect or reject workers' compensation coverage for the state of Mississippi.

Mississippi Drug Free Workplace Guidelines

This document contains the guidelines for the Mississippi Drug Free Workplace Program.

Mississippi Drug Free Workplace Application

This document contains the application for the Mississippi Drug Free Workplace Program.

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Mississippi Notice Requirement

Mississippi Workers Compensation Benefits Poster.

Employers must tell their employees that they carry workers’ compensation insurance by providing a written notice of coverage to new employees upon hire. Employers must also post a written notice at their place of business telling their employees that they carry workers’ compensation insurance. The notice must be in English, Spanish, and any other language that is common to the employees and must be posted at conspicuous locations at the employers’ place of business.

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State Resources for Mississippi

Mississippi Workers Compensation Commission

PO Box 5300
1428 Lakeland Drive
aJackson, MS 39296-5300

Mississippi Insurance Department

P.O. Box 79
1001 Woolfolk State Office Building
501 N. West St.
Jackson, MS 39205

Workers compensation insurance is required by law for Mississippi employers.

Mississippi forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Mississippi.

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Learn more about workers compensation insurance in Mississippi Work Comp:   Mississippi | MS Programs| MS Rates | MS Forms | MS Info | MS Quotes
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At Workers Compensation, we help Mississippi employers find the best deal on Work Comp Coverage. Whether you are looking for Pay as You go Coverage or an installment plan, we can help you find lower rates.

Give one of our Mississippi workers compensation Specialists a call today at 888-611-7467 for a free, no-obligation quote on workers compensation insurance.

Mississippi Agency License: 15013205
National Producer Number: 5064979

Contact a Mississippi Workmans Comp Specialist