Get Mississipi Form 297 E

Filling out the Mississippi Form 297 E online can be a straightforward process if you follow the right steps. This guide will walk you through each section of the form, ensuring that you provide the necessary information accurately.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the 'Name of Facility' section. Input the full name of your facility as required.
3. Locate the 'Facility ID Number' field. If you have an ID for your facility, be sure to enter it here.
4. Fill in the 'Physical Address' section, which includes the street address, city, state, and postal code.
5. If your mailing address is different from your physical address, fill out the 'Mailing Address' section accordingly.
6. Provide the 'Facility Manager Name' as well as their contact details, including phone number and email.
7. Indicate the owner type by checking the appropriate box (K Association, K Corporation, K Individual, K Partnership, or K Other).
8. Fill in the 'Owner/Designee' fields, including name and contact information.
9. Specify if the facility is smoke-free by checking 'K Yes' or 'K No'.
10. Complete the 'Corporate Supervisor' section if applicable, including their contact information.
11. Read the acknowledgment statement regarding compliance with the Mississippi State Department of Health regulations. Fill in and sign your name in the 'Applicant Name/Signature' field.
12. Enter the date of application and provide your email and phone number.
13. Once all fields are complete, save your changes. You may also download, print, or share the form as needed.

Complete your Mississippi Form 297 E online to streamline your application process.