DECCD Service Request


Chose the option that best applies to your situation


Please enter your first and last name as it appears on your account. If you are a childcare provider, list your provider name as well.


Parent should list their 14 digit application number beginning with 201 and Providers should list their Provider ID Number.


Please list the children's names for this request as they appear on the application or certificate.


In order for faster service, please list the primary issue type. *Note* This does not take the place of submitting the appropriate form to DECCD. All forms are available at www.childcareinfo.ms under "For Parents" or "For Providers" links. You may upload the completed form to this request below.


Please let us know how we can assist you today.


Please list the MS county or put "Out of State." The counties are available on the dropdown menu.






If you would like to upload a copy of your change of provider form, provider underpayment form, referral or applicant information, please upload the document here.






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