24 MAC Pt. 3, R. 11.1
PCCSS (Provisional Certification) Application
Cite as 24 Miss. Admin. Code Pt. 3, R. 11.1
PCCSS (Provisional Certification) Application
A. To apply for temporary certification as a PCCSS, an individual should submit an
online application which contains the following:
1. PCCSS Application Form;
2. PCCSS Verification of Employment Form;
3. Official Transcript; and,
4. Application Fee - $40.00 fee
B. Application forms and application components (i.e., educational escripts and fees) are
submitted online as prescribed by the Mississippi Department of Mental Health via
the agency (DMH) website.