Contracts and Grants Intranet

• PDF [251KB]
  How to Relate Grants to Sub-grants PDF [251KB]
  October 1, 2020
• PDF [713KB]
  MSDH Contract Request Form for Contract Workers Instructions PDF [713KB]
  Form 1144e Instructions
• PDF [264KB]
  MSDH Contract Request Form for Contract Workers PDF [264KB]
  Form 1144e
• PDF [63KB]
  Authorization to Release Information for Background Checks PDF [63KB]
  Form 159e
• PDF [274KB]
  Contract Request Form or Independent Contractors PDF [274KB]
  Form 1143e
• PDF [248KB]
  Contract Request Form for Independent Contractors Instructions PDF [248KB]
  Form 1143e Instructions
• PDF [1MB]
  Human Resources Contract Modification Request PDF [1MB]
  Form 1207e
• PDF [71KB]
  Contract Worker/Independent Contractor Determination Worksheet PDF [71KB]
  Form 594e
• PDF [2MB]
  Subgrant Modification PDF [2MB]
  Form 96
• PDF [2MB]
  Subgrant Agreement PDF [2MB]
  Form 607
• PDF [40KB]
  Contractor/Subgrantee Determination Worksheet PDF [40KB]
  Form 593
• PDF [197KB]
  Pre-Application Grant Review PDF [197KB]
  Form 1001
• Pre-Application Grant Review Form
  Docusign Form

Mississippi State Department of Health • 570 East Woodrow Wilson Dr • Jackson, MS 39216 • 866‑HLTHY4U • Contact and information