Mississippi Department of Human Services

Out of State Inquiries & Paris Matches

This form is only for out of state agencies requesting verification of SNAP and TANF.

*This form is not intended for SNAP/TANF clients, information submitted will be automatically deleted. Please contact (800) 948-3050 for assistance.


For medical requests visit www.medicaid.ms.gov or contact (601) 359-6530

 
 
 
 
Phone
 
 

List client's alias names (if any).

 

MM/DD/YYYY

 
mm/dd/yyyy
 

Only provide the client's last 4 digits for security purposes.

 
Phone
 
 
 

Please select requests of verification for SNAP/TANF from the list below.

Select only one request per submission.

 
Privacy Policy
Report Abuse
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.