Mississippi Birth Certificate Name Change Form Download

State:
Mississippi
Control #:
MS-61117
Format:
Word; 
Rich Text
Instant download

Description

The Mississippi birth certificate name change form is a legal document prepared for individuals wishing to change their name on their birth certificate due to various reasons, such as clerical errors or personal preference. This form is primarily relevant for adults residing in Mississippi, particularly those in Rankin County, who have a valid reason for the name change request. To effectively use the form, users must fill out personal information including their current name, desired name, and details about their birth. It is essential to attach supporting documents, like the original birth certificate, as evidence. The petition must also be filed with the Chancery Court, and a summons must be served to the State Board of Health. Key features of the form include clear sections for the petitioner’s information, grounds for the name change, and the need for a notary public’s endorsement. This form is useful for attorneys, paralegals, and legal assistants helping clients navigate the legal process, ensuring all necessary documentation is prepared and submitted correctly. Legal practitioners can support clients in understanding their rights and responsibilities throughout the name change process, thereby facilitating a smoother experience.
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  • Preview Petition to Change Name on Birth Certificate
  • Preview Petition to Change Name on Birth Certificate
  • Preview Petition to Change Name on Birth Certificate
  • Preview Petition to Change Name on Birth Certificate

How to fill out Mississippi Petition To Change Name On Birth Certificate?

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FAQ

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.

Changes or Corrections: Call our Vital Records office at 601-206-8200 or send e-mail to VRInfo@msdh.ms.gov.

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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Mississippi Birth Certificate Name Change Form Download