Mississippi Birth Certificate Name Change Without Parental Consent

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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FAQ

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.

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.

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.

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

More info

(Read instruction on next page before completing this form). Primarily this is: Registrant (the child named on the record), if of legal age.Mississippi name change forms allow a resident to legally change their name. A name change for a child is not guaranteed without the other parent's consent. As a general rule after divorce, the mother's or father's last name can no longer be changed. However, the law provides for certain exemptions. Adoptee rights and Mississippi law, with a focus on original birth certificates, court records, descendants, and adult adoption. To: Public Health and Welfare. By: Senator(s) Fillingane. If the parents of the child were not married at the time of the birth, and you want your child's surname in Mississippi, USA, it needs to be re-registered.

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Mississippi Birth Certificate Name Change Without Parental Consent