Mississippi Birth Certificate Name Change Form Download

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

Description

This model form, a Petition to Change Name on Birth Certificate, is intended for use to initiate a request to the court to take the stated action. The form can be easily completed by filling in the blanks and/or adapted to fit your specific facts and circumstances. Available in for download now, in standard format(s). USLF control number MS-61117
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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