Mississippi Smoking Complaint Form

State:
Multi-State
Control #:
US-232EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used to initiate a formal complaint concerning smoking in a non-smoking area.

How to fill out Smoking Complaint Form?

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FAQ

The Mississippi Department of Human Services is dedicated to serving others while providing a wide range of public assistance programs, social services and support for children, low-income individuals and families.

The Division of Health Facilities Licensure and Certification is the Mississippi regulatory agency responsible for regulating and licensing hospitals, nursing homes, hospices, and other specialized care facilities.

If you have information that may indicate improper governmental activities in a city agency or by a city employee or public official, we suggest that you submit your complaint to the district attorney or grand jury in the county where the action has occurred.

Nursing homes and other health care facilities or call 1-800-227-7308 to leave a message on the Complaint Hotline at any time.

Smoking restrictions are required in government workplaces and at public facilities where an organized athletic event for persons under 18 is taking place. There are no smoking restrictions for private workplaces, restaurants, bars, s/gaming establishments, retail stores and recreational/cultural facilities.

You can make a complaint in writing by completing the Request for Complaint Resolution form, or you can call the customer service center at 1-877-882-4916. MDHS will contact you if more information is needed. Once all information is provided, MDHS will review your complaint and contact you within 3 business days.

The Mississippi Tobacco Quitline The program is available by the telephone and also in a web-based format to deliver counseling and nicotine replacement therapy (the patch and gum) at no cost to participants. All staff are Master's Level counselors who deliver effective behavior modification therapy.

If you are a patient, family member, or another member of the general public, please utilize the complaint system link below, "File a Complaint". If you are a healthcare professional or law enforcement officer, you must contact the Board directly at 601-987-3079 to file your complaint.

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Mississippi Smoking Complaint Form