Mississippi State Department of Health

Application for Certified Copy of Birth Certificate

  [close]

To apply for a copy of your birth certificate, please print the following application form:

Payment information and other instructions are below. Send completed application and payment to:

Mississippi Vital Records
P.O. Box 1700
Jackson, MS 39215-1700

Instructions

Before You Order

Photo ID Required

If you are applying for a birth certificate for yourself, a relative, or someone you legally represent, you must provide a copy of a valid photo identification with your application. Accepted forms of identification are:

Payment

Failure to Receive

Complaints of failure to receive certified records will be honored within 6 months of the original request. If the copy was to be returned to you by U. S. Postal Service, please allow 4 weeks after mailing the request before inquiring. Inquiry about copies ordered with payment for special courier delivery should be made within 7 days of the request. Mail returned because of insufficient address or address changes will be re-mailed if this office is notified of the correct address within 6 months of request.


For more information, send e-mail to: VRInfo@msdh.ms.gov or call (601) 206-8200



Links referenced on this page
More about WIC    http://msdh.ms.gov/msdhsite/index.cfm/41,0,128,html ok
Application for Certified Copy of Birth Certificate    https://msdh.ms.gov/phs/forms/Form%20522E_201701.pdf
Application for Certified Copy of Birth Certificate    https://msdh.ms.gov/phs/forms/522s.pdf
VRInfo@msdh.ms.gov    mailto:VRInfo@msdh.ms.gov

Resources referenced
Application for Certified Copy of Birth Certificate    https://msdh.ms.gov/phs/forms/Form%20522E_201701.pdf static file not found (check this link)
Application for Certified Copy of Birth Certificate    https://msdh.ms.gov/phs/forms/522s.pdf static file not found (check this link)

Find this page at http://msdh.ms.gov/msdhsite/index.cfm/index.cfm

print  close