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Get Ms Doh 522 2021-2026

APPLICATION FOR CERTIFIED MISSISSIPPI BIRTH CERTIFICATE Mississippi State Department of Health Vital Records Post Office Box 1700, Jackson, Mississippi 392151700FULL NAME ON FIRST MIDDLE LAST BIRTH.

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How to fill out the MS DoH 522 online

The MS DoH 522 form is essential for requesting a certified copy of a Mississippi birth certificate. This guide provides clear, step-by-step instructions on how to accurately complete the form online.

Follow the steps to successfully complete the MS DoH 522 form.

  1. Press the ‘Get Form’ button to access the MS DoH 522 form and open it in the online editor.
  2. Fill in the full name as it appears on the birth record in the respective fields for first, middle, and last names.
  3. Indicate any name changes by checking the appropriate box and provide the original name if applicable.
  4. Enter the date of birth using the designated fields for month, day, and year. Include the state file number if known.
  5. Provide the place of birth information, including county, city, and state.
  6. Select the sex of the individual by marking either 'male' or 'female'.
  7. Identify the race of the mother or parent and the father or parent in the specified sections.
  8. Enter the names of the parents, including last name, first name, middle name, and maiden name for both the mother and father.
  9. Describe your relationship to the applicant in the designated section.
  10. Specify the purpose for which the certified copy is needed.
  11. Sign and date the application where indicated.
  12. Ensure payment of the non-refundable search fee of $17.00 is included, along with acceptable photo identification.
  13. Provide the mailing address of the applicant, including delivery address, city, state, and ZIP code.
  14. After completing all fields, you can save changes, download, print, or share the form as needed.

Ready to obtain your birth certificate? Complete the form online today.

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You can order birth certificates, death certificates and marriage records on-line, by mail, phone or in person by visiting our Vital Records office. Birth certificates cost $17, with a $6 fee for additional copies of the same record.

The certified copy of the birth certificate is available for $17 for the first copy and $6 for each additional copy ordered at the same time. This certified copy will satisfy claims requiring proof of dependency and situations where for family, historical or legal reasons additional information is required.

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.

Birth certificates are available from MSDH's Vital Records office when you visit in person, order by phone, or order by mail. Online ordering is also available. Changes or Corrections: Call our Vital Records office at 601-206-8200 or send e-mail to VRInfo@msdh.ms.gov.

VitalChek meets the requirements of credit card companies for e-commerce/Internet transactions. It encrypts all communication between the user's browser and our servers using Secure Sockets Layer (SSL) encryption (RSA 2048 bit certificates along with cipher suites that utilize 128 bit encryption or greater).

How long will it take to receive my certificate? Standard orders (USPS) are processed in 7-10 business days. Online and telephone orders have the option of expedited delivery through UPS and are processed in 3-5 business days.

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