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Get Ms Form 523 2017-2025
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How to use or fill out the MS Form 523 online
Filling out the MS Form 523 for a certified Mississippi death certificate can be straightforward with the right guidance. This guide provides detailed step-by-step instructions to assist users in completing the form accurately and efficiently.
Follow the steps to fill out the MS Form 523 correctly.
- Use the ‘Get Form’ button to access the form and display it in the appropriate editor.
- Begin filling out the form by entering the full name of the deceased, including their first, middle, and last names.
- Indicate the date of death by entering the month, day, and year (four digits) in the designated fields.
- Provide the place of death, which includes the county, city or town, and state where the death occurred.
- Fill in the sex, race, social security number, and age at death of the deceased.
- List the names of the father or parent and mother or parent of the deceased.
- Enter the name and address of the funeral director responsible for handling the deceased's remains.
- Complete the section for the person or facility requesting the copy, including their relationship or interest in the deceased.
- Specify the purpose for which the certified copy is to be used.
- Sign and date the application to certify that you have a legitimate interest in the death record being requested.
- Ensure you have included the required payment of $17.00, either in check or money order payable to Mississippi Vital Records.
- Attach valid photo identification as specified in the requirements and ensure it is included with your application.
- Include your mailing address, home and work phone numbers, and any necessary apartment numbers in the designated fields.
- Once all sections are completed, verify that all information is accurate, then save changes, download, or print the form as necessary.
Complete your documents online today to secure your certified Mississippi death certificate.
Related links form
If you do not know the exact date or place of death: the Mississippi State Department of Health will do a 5-year search for free.
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