Rule 24-3-18.6 - Reporting Changes in Vital InformationA. DMH-credentialed individuals and DMH Licensed Administrator Program Participants are required to notify the Division within 14 working days of a change in legal name, address or employment. B.Name Change1. Each credentialed individual should ensure that his/her current wall certificate bears his/her current legal name. An individual whose legal name has changed is expected to request a new certificate reflecting the new name. Once the new certificate is generated, the previous certificate is invalid. 2. To request a name change, the individual should submit a written/email request for a name change, along with a copy of legal documentation of the name change and payment of the name change fee. The request should indicate the new name as it should appear on the replacement certificate. Name changes reported at the time of an upgrade application do not have to be accompanied by a request, a copy of the legal documentation or the name change fee; this exemption does not apply to renewal applications.3. Only individuals in good standing who are currently employed in the state mental health system (or in Inactive Status) may request a replacement certificate. C.Address Change An individual whose email address, mailing address and/or telephone number has changed is expected to contact the Division with the new information.
D.Employment Change1.Upon separation of the credentialed individual from state mental health system employment, the individual's DMH professional credential will become null and void unless he/she provides notification of reemployment in the state mental health system or requests and receives an appropriate credential status change according to the procedures established by the Division, as covered in the "Separation from State Mental Health System Employment" section below. 2. Notification of a change in place of employment (not job title) must be submitted in writing/email to the Division of PLACE by either the credentialed individual/DMH Licensed Administrator "Program Participant" OR the place of employment from which the individual is separating. 3. An individual who is either leaving state mental health system employment or changing to a new state mental health system program should follow the requirements under "Separation from State Mental Health System Employment" below. Section 41-4-7 of the Mississippi Code of 1972, Annotated