Mississippi Birth Certificate Name Change With Gazette

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 Birth Certificate Name Change With Gazette?

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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.

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 the time between conception and birth, the father can be removed from the birth certificate by the ?Rescission of Acknowledgement of Paternity.? This form is used to rescind (cancel) the legal claim of paternity created by a previously completed Acknowledgement of Paternity.

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.

The fee for an amendment or correction to a Mississippi Vital Record is $28.00.

More info

This affidavit will be attached to the original birth record thus becoming part of the birth record. Please use black ink and print clearly. a.Last reviewed on Feb 14, 2023. The MSDH Bureau of Vital Records maintains records of births, deaths and other vital events in the state. A parent may change the name of their child born in Maryland one time within the first year. On that date, the judge will ask a couple of questions, then issue a name change order. Purchase several certified copies. Name change back to Amory Advertiser on Mar 24, 1977. You must live in Mississippi. 3. You must have a certified copy of your birth certificate. 4.

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Mississippi Birth Certificate Name Change With Gazette