This version of the form is not currently in use and is provided for reference only. Download this version of Form 4A for the current year.
This is a legal form that was released by the Public Employees' Retirement System of Mississippi - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 4A?
A: Form 4A is a Non-covered Employment Acknowledgment form.
Q: What is non-covered employment?
A: Non-covered employment refers to work that is not covered by a specific program or regulation.
Q: Why is this form required in Mississippi?
A: This form is required in Mississippi to acknowledge non-covered employment.
Q: Who needs to fill out this form?
A: Anyone who is engaging in non-covered employment in Mississippi needs to fill out this form.
Q: Is this form mandatory?
A: Yes, this form is mandatory for individuals engaging in non-covered employment in Mississippi.
Q: What information is required on this form?
A: The form requires information such as the employer's name, address, and the employee's name and signature.
Q: What is the purpose of this form?
A: The purpose of this form is to acknowledge the non-covered employment status of an individual in Mississippi.
Form Details:
Download a fillable version of Form 4A by clicking the link below or browse more documents and templates provided by the Public Employees' Retirement System of Mississippi.