Rule 24-3-10.1 - PCCSS (Provisional Certification) Application PacketA. To apply for temporary certification as a PCCSS, an individual should submit an application packet which contains the following: 1. PCCSS Application Form; 2. PCCSS Verification of Employment Form; 3. Official Transcript; and, 4. Application Fee - $30.00 fee (submitted in a manner prescribed by the Mississippi Department of Mental Health). B.Application Forms are located online at the agency (DMH) website, as an addendum to this document.Individuals needing a print copy should contact the Division.Section 41-4-7 of the Mississippi Code of 1972, Annotated