Instructions for completing and returning the Employer Change Request (ECR) form.
You may download, complete, and print this form online, but you will not be able to submit the form via the Internet. In order to make better use of all the features of the form, you should use version 5 of the free Adobe Acrobat Reader.
Once you have completed the form you may either e-mail it as an attachment to csstatus@mdes.ms.gov, or print it out and mail it to:
Mississippi Department of Employment Security
Contributions & Status Department
P.O. Box 22781
Jackson, MS 39225-2781
The Mississippi Department of Employment
Security is an
equal
opportunity employer. Auxiliary aids and services are
available upon request to individuals with disabilities.