Mississippi birth certificate application: Fill out & sign online

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Click ‘Get Form’ to open the Mississippi birth certificate application PDF in the editor.
Begin by entering the full name of the individual as it appears on the birth record. If there has been a name change, indicate 'Yes' or 'No' in the provided checkbox.
Fill in the date of birth, including day, month, and year. Specify the place of birth by entering the city and county.
Select the sex of the individual by checking either 'Male' or 'Female'.
Provide the full maiden name of the mother and full name of the father, ensuring all fields are completed accurately.
Indicate your relationship to the applicant and provide your signature along with the date.
Complete your mailing address for delivery and include a valid photo ID as required. Ensure you check all information for accuracy before submission.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (151 Votes)
2014	4.5 Satisfied (51 Votes)
2011	3.9 Satisfied (53 Votes)

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What is the fastest way to get a birth certificate in Mississippi?

You may order copies of Mississippi vital records through VitalChek on an expedited basis. Please Note: If the certificate is needed for Apostille please contact the State Vital Records office at 877-295-4229 to order.

How to process a birth certificate?

PERSON RESPONSIBLE Get an Application Form - Birth Certificate (White Form) from the Information Marshals booth and fill-out the required information in PRINTED LETTERS. Submit the required documents to the Payment Window for completeness check. Pay the corresponding fee for the request. Proceed to the Releasing Area.

How much are Mississippi birth certificates?

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.

How to apply for a US birth certificate online?

Visit the Center for Disease Control and Prevention (CDC) website for an on-line source of more information about obtaining vital records in the U.S., such as birth certificates. There are also on-line services that will help you obtain records for a fee.

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