How do I submit a copy of the attestation form? - Mississippi Department of Human Services

Q: How do I submit a copy of the attestation form?

Fastest WAY! Online: Complete the Online Lost Benefit Attestation form on the MDHS website By mail: Complete the Downloadable Lost Benefit Attestation form and mail to: MDHS Office of Inspector General P.O. Box 352 Jackson, MS 39205-0352 In person: Visit your local county office and request the Lost Benefit Attestation form. Find your county office address - www.mdhs.ms.gov/contact Downloadable Lost Benefit Attestation Form

Fastest WAY! Online: Complete the Online Lost Benefit Attestation form on the MDHS website
By mail: Complete the Downloadable Lost Benefit Attestation form and mail to:

MDHS Office of Inspector General

P.O. Box 352

Jackson, MS 39205-0352

In person: Visit your local county office and request the Lost Benefit Attestation form. Find your county office address – www.mdhs.ms.gov/contact
Downloadable Lost Benefit Attestation Form

Vanessa Lowe2023-08-14T13:37:17+00:00