S NAME CHANGED SINCE BIRTH? Yes No DATE OF MONTH BIRTH PLACE OF COUNTY BIRTH SEX MALE FEMALE FULL MAIDEN FIRST NAME OF MOTHER FULL NAME FIRST OF FATHER MIDDLE LAST If so, what was original name? DAY YEAR STATE FILE NUMBER IF KNOWN CITY STATE RACE MIDDLE LAST MIDDLE LAST PERSON REQUESTING CERTIFIED COPY RELATIONSHIP TO APPLICANT PURPOSE FOR WHICH NEEDED SIGNATURE OF APPLICANT DATE A BIRTH RECORD SEARCH REQUIRES ADVANCE PAYMENT OF A NON REFUNDABLE SEARCH FEE OF $15.

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How to fill out the MS Form 522 online

Completing the MS Form 522 online is a straightforward process that allows users to apply for a certified copy of a Mississippi birth certificate. This guide provides clear, step-by-step instructions to ensure you complete the form correctly and efficiently.

Follow the steps to successfully complete the MS Form 522.

  1. Press the 'Get Form' button to access the form, and open it for editing.
  2. Fill in the full name on the birth record, ensuring it matches the name as listed. If there has been a name change since birth, indicate 'Yes' or 'No' accordingly.
  3. Provide the date of birth in the designated fields — day, month, and year. Include the place of birth, specifying the city and county.
  4. Indicate the sex of the individual, selecting either 'Male' or 'Female'.
  5. Enter the full maiden name of the mother, as well as the full name of the father, including first, middle, and last names.
  6. If applicable, specify the original name in the space provided, should there have been any name changes.
  7. Complete the section regarding the person requesting the certified copy, clarifying their relationship to the applicant.
  8. State the purpose for which the certified copy is needed.
  9. Sign and date the form as the applicant to confirm the request is legitimate.
  10. Ensure that you enclose a non-refundable payment of $15.00 for the certified copy, along with a copy of valid photo identification.
  11. Finally, review all entered information for accuracy. Save your changes, download or print the completed form, and share it if necessary.

Begin filling out your MS Form 522 online today to request your certified birth certificate.

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How to get a father added to a birth certificate in Mississippi?

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.

Fee is $28.00, includes one certified copy of the amended record. Additional copies of the amended record are $6.00 each when ordered at the same time for the same person.

Proceedings to correct birth certificate containing major deficiencies; acknowledgment of paternity.

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.

To order using the VitalChek Network, visit their website or call 1-877-605-8562. If you have already placed a VitalChek Network order, you may also check the status. To inquire about an order placed with VitalChek, please call 1-877-605-8562.

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.

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.

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MS Form 522 Form

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