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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
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A Simple Acknowledgment of Paternity (ASAP) is a voluntary form, often completed at the hospital. It is signed by both the mother and the father and gets filed with the birth certificate. The father's name will be added to the birth certificate, and in most cases, the child's last name will be the same as the father's.
Changes or Corrections: Call our Vital Records office at 601-206-8200 or send e-mail to VRInfo@msdh.ms.gov.
The fee for an amendment or correction to a Mississippi Vital Record is $28.00.
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.