Proof of Coverage Forms
| Form Name | Proof of Coverage |
| Form # | A-24 |
| Form Revision | Revised 7/15/49 |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Mississippi |
| Language | English |
| State Description | Every employer subject to the Mississippi workers’ Compensation Law must file proof of compliance with the insurance provisions of the law. See General Rule 3. This form is currently used only by self |
| Claimwire Description | n/a |