Mississippi Birth Certificate Name Change With Marriage

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

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FAQ

Complete the SS-5 form and decide if you will file in-person or by mail. You will need to file your form with your current Mississippi driver's license or U.S. passport and your certified marriage certificate. There is no fee to have your request processed at this office!

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.

Updating Gender Markers You may call the office at 601-206-8200 or email VRInfo@HealthyMS.com. Mississippi will issue an amended birth certificate upon receipt of a certified court order directing it to do so and a signed physician's statement that confirms you meet the state's medical requirements.

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Mississippi Birth Certificate Name Change With Marriage