Contact Breanne Hancock, Director of Policy Evaluation, at breanne.hancock@msdh.ms.gov to add MSDH forms and manuals to the MSDH website for the purposes of teleworking.
OEPR Emergency/Disaster Response Documents
Current Activation
- Demobilization Information March 30, 2022 Severe Weather Event
- Resources Status Change (ICS 210)
- OEPR Disaster Response Travel Voucher
- Comp Time (Form 43)
- Assignment List (ICS 204)
- Documentation Submission Information
Additional Forms
- Blank 214 Form (DocuSign)
- Blank 214 Form
- Form 214 Example
- Instructions for Activity Log (ICS 214) for OEPR DocuSign Form 214
- Response Time Verification Sheet
- Personnel Request ICS 213
- Resource Request Message ICS 213 RR
Intranet Agency Forms and Manuals
Intranet Communications Forms
Intranet Contracts and Grants
Contract Workers
- MSDH Contract Request Form for Contract Workers Instructions 1144e
- MSDH Contract Request Form for Contract Workers 1144e
- Authorization to Release Information for Background Checks 159e
- Human Resources Contract Modification Request 1207e
- Contract Worker/Independent Contractor Determination Worksheet 594e
Independent Contractors
- Contract Request Form or Independent Contractors 1143e
- Contract Request Form for Independent Contractors Instructions 1143e
- Human Resources Contract Modification Request 1207e
- Contract Worker/Independent Contractor Determination Worksheet 594e
Intranet Finance and Accounting
- Direct Deposit Leave Certification
- Direct Deposit Request
- Form 50: Purchase Request
- Form 13: Payment Request
- Professional Service Record
Intranet IT Security Access
- Form 866: Termination and Transfer Form
- Form 863: Security Incident Form
- Form 907: Information Access Request
Work From Home
- State of Emergency or Pandemic Event Telework Policy Manual
- State of Emergency Telework Workforce Member Packet Docusign
- Instructions to Complete Telework Docusign Packet
- State of Emergency or Pandemic Telework Packet Printable
- Teleworking Hand Receipt to Renew Loan of Agency Property (F-1134)
- Instructions to complete Teleworking Hand Receipt to Renew Loan of Agency Property (F-1134) Instructions
- COVID-19 Parent or Legal Guardian School Reporting Form 1213e Online
- COVID-19 Parent or Legal Guardian School Reporting Instructions 1213e Instructions
