Mississippi forms folder

89-350 Mississippi Employee’s Withholding Exemption Certificate

The 89-350 Mississippi Employee’s Withholding Exemption Certificate must be completed by employees so employers know how much state income tax to withhold from wages.  This form should be maintained in conjunction with the federal Form W-4.

Information Technology Use Policy

Reasonable Accommodation Request Record

Employers may use this form to document the entire interactive process. Please see the Easy Steps for a full guide on the Reasonable Accommodation packet.

Reasonable Accommodation Request Medical Certification

This form should be provided to employees to pass on to their healthcare provider in order to obtain medical certification regarding accommodation(s). Please see the Easy Steps for a full guide on the Reasonable Accommodation packet.

Request for Reasonable Accommodation

This form should be provided to employees who request a reasonable accommodation. Please see the Easy Steps for a full guide on the Reasonable Accommodation packet.

Reasonable Accommodation – Easy Steps Checklist

These Easy Steps act as a guide and checklist for the Reasonable Accommodation packet, which includes the Request, Medical Certification, and Record forms.

Dress Code

Job Description Questionnaire

Maintaining current job descriptions is a best practice for all businesses. Job descriptions that accurately lay out the duties, responsibilities, and physical requirements of a role are a helpful tool in many HR arenas: performance evaluation, the interactive process for accommodations, or even disciplinary meetings.

Employers can provide this Job Description Questionnaire to employees to review what responsibilities the employee’s position entails, and then create or update job descriptions based on the information submitted.

Overtime Request Form

Have non-exempt employees fill out this form to request pre-approval for overtime hours. Payroll managers can then use these records to track and audit overtime hours worked against timecards.

Claim Statement

This form can be provided to an exiting employee to confirm in writing that the employee has not suffered any undisclosed injuries, illness or other related employment matters except as otherwise noted.