19 Miss. Code. R. 7-15.05
An eligible first responder shall file a claim form with the Mississippi Insurance Department, a copy of which is attached hereto as Exhibit "A". The claim form must also provide written verification of the diagnosis by a board-certified physician in the medical specialty appropriate for the type of cancer diagnosed that the cancer was caused by an occupational hazard.
The claim may be filed electronically or through the U.S. Mail.
If sent via U.S. Mail:
Mississippi Insurance Department
ATTN: First Responder Health and Safety Program
P.O. Box 79
Jackson, MS 39205-0079.
If sent electronically:
FirstResponderFund@mid.ms.gov
Within thirty (30) days of receipt, the claimant will be notified of the award of benefits, or that additional information will be needed in order to approve the claim. If a claim is denied, the reason for denial will be provided: to the claimant. Reasons for denial may include, but are not limited to, that the claimant was not eligible, that the cancer did not fall under the list of occupational cancer, or that the claimant has failed to submit the necessary documentation required to approve the claim.
19 Miss. Code. R. 7-15.05