Mississippi Order Authorizing Change of Name on Birth Certificate

State:
Mississippi
Control #:
MS-61118
Format:
Word; 
Rich Text
69 downloads

What is this form?

The Order Authorizing Change of Name on Birth Certificate is a legal document issued by a court that formally grants a request to change the name listed on a birth certificate. This form is essential for individuals who need to correct their name or the name of their parent due to clerical errors or personal reasons. It serves as a court order that mandates the official change, which sets it apart from simple name change requests that may not have legal backing.

Key components of this form

  • Petitioner's details, including current name and residence.
  • Information about the birth, including name and county of birth.
  • Details on the desired new name to be reflected on the birth certificate.
  • Statements of jurisdiction and the legal basis for the request.
  • Order from the court outlining the action to be taken by the Department of Vital Statistics.
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Situations where this form applies

This form should be used when an individual wishes to legally change their name on their birth certificate. Common situations include correcting a name that was misspelled at birth, reflecting a name change that has occurred due to marriage or divorce, or updating names to match those used in official documents like insurance policies, credit cards, or educational records.

Who needs this form

  • Adults seeking to correct or change their name on their birth certificate.
  • Parents looking to amend the name of their child on the birth certificate.
  • Individuals who have legal documentation, such as a marriage certificate or court order, supporting the requested name change.

How to prepare this document

  • Enter the petitioner's current name and relevant contact information.
  • Provide details of the birth, including the original name and the date of birth.
  • Specify the new name the birth certificate should reflect.
  • Include any supporting evidence or documentation, such as previous identification showing the name change.
  • Sign and date the document, and prepare it for submission to the court.

Is notarization required?

This form does not typically require notarization unless specified by local law. Always check with the court to confirm any additional requirements before submission.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Common mistakes to avoid

  • Failing to provide accurate personal information.
  • Omitting necessary supporting documents when filing the petition.
  • Not complying with the court's formatting or submission requirements.
  • Leaving required fields blank or improperly filled out.

Benefits of using this form online

  • Convenient access to legally drafted forms available for immediate download.
  • Edit and customize the form directly to fit your specific circumstances.
  • Reliable resource, with forms drafted and reviewed by licensed attorneys.

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FAQ

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

You can order birth certificates, death certificates and marriage records on-line, by mail, phone or in person by visiting our Vital Records office. Birth certificates cost $17, with a $6 fee for additional copies of the same record.

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.

Contact your court directly for specific instructions on how to file your petition for your legal name change in Mississippi. Name change cost in Mississippi can vary too. We've seen fees run everywhere from $93 to $153.

Deed poll is a legal way of getting evidence of a name change but it does not change the name on a birth certificate. If your child's name is changed by deed poll you will need to show this document as well as their birth certificate to prove their identity.

Contact your court directly for specific instructions on how to file your petition for your legal name change in Mississippi. Name change cost in Mississippi can vary too. We've seen fees run everywhere from $93 to $153.

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

Step 1 Fill-in Petition for Change of Name. Step 2 Notarize Petition for Change of Name. Step 3 Fill-in Civil Cover Sheet. Step 4 Gather Documents. Step 5 File Petition for Change of Name at Local Chancery Court. Step 6 Pay Filing Fee. Step 7 Attend Hearing (if required)

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Mississippi Order Authorizing Change of Name on Birth Certificate