Mississippi Administrative Code
Title 24 - Mental Health
Part 8 - Rules, Regulations and Application Guidelines for the Licensed DMH Administrator Program
Chapter 5 - Renewal Procedure
Section 24-8-5-2 - Renewal Application Procedure

(1) A completed, notarized Renewal Application Form;

(2) A completed Verification of Employment Form;

(3) A completed Verification of Ongoing lnservice/Training Form(s) verifying a minimum of 40 contact hours;

(4) (Optional) Official transcript(s) from an approved educational institution reflecting graduate-level work if claiming this coursework as training on the Verification of Ongoing Inservice/Training Form; and,

(5) A non-refundable $50.00 Renewal Fee made payable to the Mississippi Department of Mental Health.

(1) The items listed in Chapter 5, Section 2, A., p. 21 should be completed by the appropriate persons(s) indicated on the form(s), collected by the Applicant and submitted together in one application packet to the Division.

(2) Items 2-4 should be sent in sealed envelopes with a signature across the seal that matches the signature on the document inside the envelope. Signatures on the envelopes will be verified by the Division. If submitted, the official transcript (Item 4) should be in the original envelope provided by the approved educational institution when given to the Licensee.

(3) If necessary, the official transcript (Item 4) may be submitted to the Division directly by the approved educational institution.

(4) If an individual holds more than one DMH professional certification/ licensure, each one must be renewed separately by submitting separate renewal application packets, including renewal application forms and the payment of renewal fees.

(1) The responsibility for submitting a complete renewal application is that of the Licensee seeking renewal.

(2) The Review Board will not review incomplete renewal applications. See Chapter 2, Section 2, B., (4), p. 4.