Mississippi Birth Certificate Name Change Form Download
Description
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.