Mississippi Birth Certificate Name Change Without Parental Consent
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How to fill out Mississippi Petition To Change Name On Birth Certificate?
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FAQ
If the mother was not married at the time between conception and birth, the father can be removed from the birth certificate by the ?Rescission of Acknowledgement of Paternity.? This form is used to rescind (cancel) the legal claim of paternity created by a previously completed Acknowledgement of Paternity.
The fee of $28.00 check, bank, or postal money order. ACKNOWLEDGEMENT OF PATERNITY THE BIRTH CERTIFICATE WILL REFLECT THE LAST NAME OF THE CHILD TO BE THE SAME AS THAT OF THE ACKNOWLEDGED FATHER.
The fee for an amendment or correction to a Mississippi Vital Record is $28.00.
If the mother was not married at any time between conception and birth and there is no father listed on the birth certificate, the addition can be made with an Acknowledge of Paternity. The form can be downloaded at this website, or you can obtain one by calling our Amendments Department at 601-206-8200.
Changes or Corrections: Call our Vital Records office at 601-206-8200 or send e-mail to VRInfo@msdh.ms.gov.