To notify us of any terminations, please click on the link below, complete the form, and print.  This form may be mailed, emailed or faxed.

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If the employee (s) terminating were participants, please subtract them from your monthly invoice. If the employee (s) participated for 10 or more days within a month, they are included in that months payment.

Mail Report to: 
P.O. BOX 2449
MADISON, MS 39130-2449 – Fax to: 601-856-8088

or Email to: