Application for Certified Mississippi Birth Certificate
This document is an application for obtaining a certified copy of a birth certificate in Mississippi. It outlines the necessary steps, eligibility, and identification required for the application process. Completing this form correctly ensures timely processing of your request.
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How do I fill this out?
To fill out this form, gather all necessary information and valid identification before you start. Follow each section closely, ensuring all required fields are completed accurately. Double-check your entries before submission to avoid processing delays.

How to fill out the Application for Certified Mississippi Birth Certificate?
1
Review the eligibility criteria to ensure you qualify.
2
Complete all required fields in the application accurately.
3
Attach valid photo identification as specified.
4
Prepare payment for the application fee and additional copies if needed.
5
Submit the completed application via mail or in-person.
Who needs the Application for Certified Mississippi Birth Certificate?
1
Parents requesting their child's birth certificate for documentation purposes.
2
Individuals applying for personal identification that requires proof of birth.
3
Legal guardians needing a certified copy for legal processes.
4
Family members seeking records for genealogy research.
5
Individuals applying for benefits or services that require a birth certificate.
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What are the instructions for submitting this form?
To submit your application, mail it along with payment and a copy of your identification to the Mississippi Vital Records at P.O. Box 1700, Jackson, MS 39215-1700. Alternatively, you may visit the office in person and present your application and ID. For any questions, contact the Vital Records office at 601-206-8200 for assistance.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, be aware of any upcoming changes in the birth record application process. Specific dates for holidays or state closure may impact the processing times. Always check with local authorities for updates regarding application submissions.

What is the purpose of this form?
The purpose of this form is to provide a mechanism for eligible individuals to request certified copies of birth certificates. These certificates serve as vital records necessary for identification, legal, and personal needs. Completing this form accurately is critical to obtaining the requested documents.

Tell me about this form and its components and fields line-by-line.

- 1. Full Name: The name of the registrant as it appears on the birth record.
- 2. Date of Birth: The date when the individual was born.
- 3. Place of Birth: The city and state where the individual was born.
- 4. Parents' Names: Full names of both mother and father as listed on the birth record.
- 5. Relationship to Applicant: The applicant's relationship to the registrant.
What happens if I fail to submit this form?
Failure to submit this form correctly may result in delays or denial of your request. Missing information or improper identification can cause the application to be returned. Ensure all fields are completed and the necessary documents are included.
- Incomplete Application: If required fields are not completed, the form will not be processed.
- Missing Identification: Applications lacking valid ID will be returned unprocessed.
- Incorrect Payment Method: Failure to include the correct fee will delay your request.
How do I know when to use this form?

- 1. Legal Documentation: Required for various legal processes such as name changes or court proceedings.
- 2. Personal Identification: Necessary for applying for government-issued IDs or passports.
- 3. Genealogy Research: Helpful for individuals tracing family history or creating family trees.
Frequently Asked Questions
Who is eligible to apply for the birth certificate?
Eligible individuals include the registrant, parents, legal guardians, and legal representatives.
What forms of identification are accepted for this application?
Accepted forms include valid driver's licenses, state IDs, passports, and military IDs.
How long does it take to process my application?
Processing typically takes 7 to 10 business days after receipt of your application.
Can I submit my application online?
Yes, you can submit your application online or via mail if paying by credit card.
What happens if my birth certificate is not found?
You will receive a 'Not on File' statement if the record is unavailable.
How can I check the status of my application?
Allow four weeks after mailing your request to inquire about the status.
What are the fees associated with obtaining a birth certificate?
The initial fee is $17 for one certified copy, with additional certified copies costing $6 each.
What if I submit the application without proper identification?
Your application will be returned without processing if proper identification is not provided.
Can I request multiple copies at once?
Yes, you can order multiple certified copies on the same application form.
Is the application fee refundable?
The application fee is nonrefundable unless additional copies are requested when no record is found.