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When it comes to accessing vital records, understanding the correct forms and procedures is paramount. The 522 Mississippi form, officially known as the Application for Certified Mississippi Birth Certificate, is an essential document for those seeking to obtain a certified copy of a birth certificate from the Mississippi State Department of Health's Office of Vital Records. This form is not just a simple request; it encapsulates several vital pieces of information: the applicant's full name as it appears on the birth record, any changes in name since birth, comprehensive details about the date and place of birth, and the specific reason for the request. The application process also highlights the non-refundable search fee of $15.00, an additional fee for extra copies, and outlines the necessary identification required to process the application. Moreover, it establishes who is eligible to apply for a certified copy, stressing the importance of legitimate interest and the legal consequences of obtaining such a document under false pretenses. Whether the certificate is needed for legal, personal, or genealogical reasons, the form encapsulates an array of instructions to ensure compliance with Mississippi law and facilitate a smooth process for the requestor.

Example - 522 Mississippi Form

APPLICATION FOR CERTIFIED MISSISSIPPI BIRTH CERTIFICATE

Mississippi State Department of Health

Vital Records

Post Office Box 1700, Jackson, Mississippi 39215-1700

FULL NAME ON

 

FIRST

 

 

 

 

 

 

MIDDLE

 

LAST

BIRTH RECORD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HAS NAME CHANGED

 

 

 

 

If so, what was original name?

SINCE BIRTH?

□ Yes

No

 

 

 

 

 

 

 

 

 

DATE OF

 

MONTH

 

 

DAY

 

 

YEAR

STATE FILE NUMBER IF KNOWN

BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLACE OF

 

COUNTY

 

 

 

 

 

 

CITY

 

 

 

STATE

BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEX

 

 

 

 

 

 

 

RACE

 

 

 

 

MALE

□ FEMALE

 

 

 

 

 

 

 

 

 

 

 

FULL MAIDEN

 

FIRST

 

 

 

 

 

 

MIDDLE

 

LAST

NAME OF MOTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FULL NAME

 

 

 

FIRST

 

 

 

 

 

 

MIDDLE

 

LAST

OF FATHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSON REQUESTING CERTIFIED COPY

RELATIONSHIP TO APPLICANT

 

 

 

 

 

 

PURPOSE FOR WHICH NEEDED

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF APPLICANT

 

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A BIRTH RECORD SEARCH REQUIRES ADVANCE PAYMENT OF A NON REFUNDABLE SEARCH FEE OF $15.00 AND VALID PHOTO IDENTIFICATION.

The $15.00 fee entitles the applicant to one Certified copy of the birth record on file of if the record is not found a “Not on File” statement will be issued. Surrounding counties and five years centered on year of birth are searched if record is not located within county or year specified.

$ 15.00

X

1

=

$15.00

Additional Certified copies of the same record ordered at the same. $5.00 for each additional certified copy.

TOTAL AMOUNT ENCLOSED. Check or Money Order payable to Mississippi Vital Records. Mississippi law allows an additional Service charge for dishonored checks. (DO NOT SEND CASH)

$ 5.00

X

 

=

 

 

 

 

 

 

 

 

 

 

Amt.

 

 

No. of copies

 

Enclosed

TOTALS

PHOTO IDENTIFICATION REQUIRED

Failure to provide the proper identification will result in the application being returned to you without processing. Acceptable forms of identification are: Valid Driver’s License, State Issued Identification Card, Passport, and/or Military Identification Card, Valid School, College or University Identifications. (See back for other acceptable forms).

APPLICANT NAME/DELIVERY INFORMATION

Pursuant to Section 41-57-2 of the Mississippi Code of 1972, Annotated and as defined by Mississippi State Board of Health Rules and Regulations only person having legitimate and tangible interest in a birth certificate is entitled to obtain a copy. Anyone obtaining a copy of a birth certificate under false pretenses is subject to the penalties as described in Section 41-57-27 of the Mississippi Code.

PRINT YOUR MAILING ADDRESS HERE

Applicant Name (Type or Print)

Delivery Address (include apt number)

City

 

State

ZIP Code

 

Phone Number, including area code

 

 

 

 

 

 

 

 

 

 

 

 

DO NOT WRITE IN THE SPACES BELOW – FOR OFFICE USE ONLY

 

12

–36

 

S.C.

 

SUP.

 

 

 

 

 

 

 

 

 

 

 

37

– 66

 

S.C.

 

P.

 

 

 

 

 

 

 

 

 

 

 

S.C.

 

C.D.

 

CWA.

 

 

 

 

 

 

 

 

 

 

Mississippi State Department of Health

Revised 3-18-11

Form 522

INFORMATION AND INSTRUCTIONS FOR BIRTH RECORD APPLICATION

Eligibility:

A certified copy of a birth certificate can be issued only to a person with legitimate and tangible

 

interest as defined by the Rules Governing the Registration and Certification of Vital Events.

 

Primarily this is:

 

1)

Registrant (the child named on the record), if of legal age.

 

2)

Parent(s) listed on the birth record, if VR office has not been notified of termination of parental rights.

 

3)

Spouse, sibling(s), or grandparent(s)/child(ren) of registrant, proof of relationship required.

 

4)

Legal Guardian, guardianship papers must be provided.

 

5)

Legal representative of one of the above persons, proof of representation must be provided.

 

6)

Licensed adoption agencies working within the statutory authority of §93-17-205.

 

7)

Other person(s) by court order, certified copy of court order must be provided.

Birth records are available for genealogy purposes for birth events occurring over 100 years ago. Genealogy must be provided as purpose for certificate and family relationship to the registrant must be specified. Plain paper copies rather than certified copies are provided for genealogy purposes.

Requirements for Ordering: If applicant is self, spouse, parent, grandparent, sibling, child, grandchild, guardian, or legal representative, then the applicant must provide a completed application and a copy of a valid photo identification of the applicant. Acceptable forms of identification are the following:

■ Photo Driver’s License

■ Photo State Issued ID

■ Employment ID

■ School, College or University ID

■ US Military ID

■ Tribal ID

■ Alien Registration/Permanent Resident Card

■ Temporary Resident Card

■ US Passport

OR two forms of identification from the following list:

■ Social Security Card

■ Utility Bill (showing address)

■ Medicaid Card

■ Snap/EBT card (showing address)

■ Work Identification

■ Veteran Universal Access ID Card

Guardian or legal representative must submit proof of guardianship/legal representation with this application. Legal representatives must provide attorney bar number, name of person represented, and their relationship to the registrant. If you are an agent of local, state or federal agency requesting a record, indicate in the space provided for “relationship” the name of the agency. If you do not have one of the above referenced documents, please contact Vital Records at 601-576-7981.

Relationship to Applicant: A person ordering his or her own certificate should enter “SELF” in this space. Also, explain if name has been changed by marriage, legal name change (when and where), etc. Others must identify their relationship to the registrant clearly.

Nonrefundable: Vital record fees are nonrefundable, with the exception of fees paid for additional copies when no record is found.

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 3 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 correct address within 6 months of request.

Options for Service: Certified copies of birth records may be ordered in person, by mail, or, if paying by credit card, online or by telephone. Processing time is generally 7 – 10 working days after receipt of request. If amendment action is necessary, additional processing time will be required. Payment of fees is required at the time of ordering.

WALK-IN SERVICE is available at 571 Stadium Drive, Jackson, Mississippi between the hours of 8:00 am and 5:00 pm. Most records will be available while you wait, some require special processing and will be mailed within 7 - 10 days of the request.

MAIL-IN requests, either on the form provided or as a free form request will be processed in the order received and will be returned by regular U.S. Postal Service, unless accompanied by a prepaid special courier self-addressed envelope.

PAYMENT BY CREDIT CARD can be done using an online service or by telephone. The private company approved to handle credit card transactions for Mississippi birth records can be accessed by calling 601-576-7988 or by visiting www.msdh.state.ms.us/phs and clicking on link for online ordering. If you have questions or need additional assistance call 601-576-7981. A recorded message outlining ordering requirements and options can be accessed by dialing 601-576-7450.

MAIL THIS APPLICATION WITH PAYMENT AND COPY OF IDENTIFICATION TO:

MISSISSIPPI VITAL RECORDS

P.O. BOX 1700

JACKSON, MS 39215-1700

Mississippi State Department of Health

Revised 3-18-11

Form 522

Document Features

Fact Name Description
Governing Law Mississippi Code of 1972, Annotated. Specifically, §§41-57-2 and 41-57-27 outline the legitimate and tangible interest required to obtain a copy of a birth certificate and the penalties for obtaining one under false pretenses.
Fee Structure A search fee of $15.00, which is non-refundable, is required for each application. This fee provides one certified copy of the birth record or a "Not on File" statement if the record is not found. Additional copies of the same record are $5.00 each.
Eligible Applicants Registrants of legal age, parents, spouse, siblings, grandparents/children of the registrant, legal guardians with proof, legal representatives with proof, licensed adoption agencies, and other persons by court order are eligible to apply.
Identification Required Applicants must provide a valid photo ID (Driver’s License, State Issued ID, Passport, Military ID, etc.) or two alternate forms of identification (Social Security Card, Utility Bill, etc.) along with the application.

522 Mississippi - Usage Instruction

Filling out the Form 522 for a certified Mississippi birth certificate is a straightforward process once you have all the necessary information at hand. The birth certificate is a vital document, serving as proof of identity for various purposes like school enrollment, obtaining a passport, and applying for a driver's license. Below are step-by-step instructions to help you complete the form accurately. Remember, a non-refundable fee is required with your submission, so it's important to get it right the first time to avoid delays.

  1. Start by writing the full name as it appears on the birth record in the spaces provided for first, middle, and last names.
  2. If the name has changed since the birth, check the box for "Yes" and write the original name. If not, check the "No" box.
  3. Enter the date of birth by filling in the month, day, and year in the respective spaces.
  4. If known, provide the state file number.
  5. Fill in the place of birth, including county, city, and state.
  6. Select the sex by checking the appropriate box, either "MALE" or "FEMALE".
  7. Specify the race.
  8. Enter the full maiden name of the mother and the full name of the father, each in their respective spaces.
  9. Identify the person requesting the certified copy, detailing their relationship to the individual on the birth certificate.
  10. Explain the purpose for which the certified copy is needed.
  11. Sign and date the form in the spaces provided for the applicant's signature and date.
  12. Calculate the total amount due. Remember, the initial search fee is $15.00, which includes one certified copy. Each additional copy costs $5.00. Write the total amount enclosed.
  13. Make a check or money order payable to Mississippi Vital Records. Do not send cash.
  14. Provide valid photo identification by including a copy of an acceptable form of ID such as a driver's license, passport, or state-issued ID card.
  15. Fill in the applicant name/delivery information section with your name, delivery address, city, state, ZIP code, and phone number.
  16. Double-check the form to ensure all information is correct and complete.
  17. Mail the application with your payment and a copy of your identification to the provided address: MISSISSIPPI VITAL RECORDS, P.O. BOX 1700, JACKSON, MS 39215-1700.

After your application has been received, the Mississippi State Department of Health will process your request. Processing times can vary, but generally, it takes about 7 to 10 working days to receive your certified birth certificate. If your application is complete and accurate, you should receive your document without any issue. Should there be any problem or if additional information is required, the department will contact you directly. Keep in mind, this is an overview of the steps involved and it's always good practice to review the instructions on the form as well as the department's website for any updates or changes to the process.

Common Questions

What is the Form 522 in Mississippi used for?

Form 522 is an application for a certified copy of a Mississippi birth certificate. It's used by individuals who need an official copy of their own or someone else's birth record for legal, personal, or genealogical purposes. This form is processed by the Mississippi State Department of Health's Vital Records Division.

Who is eligible to apply for a certified birth certificate using the 522 form?

Several individuals are eligible to apply: the person named on the birth record (if of legal age), parents listed on the birth certificate, the spouse, siblings, grandparents/children of the person on the record, legal guardians (with proof), legal representatives (with proof), licensed adoption agencies, and others who have a court order. It's important that applicants have a legitimate and tangible interest in the certificate.

What identification is required when applying for a birth certificate?

Applicants need to provide a valid photo identification, such as a driver's license, state ID, passport, military ID, or school ID. If these are not available, two alternative forms of ID (like a Social Security Card or utility bill) may be acceptable. The aim is to ensure the requestor is eligible to obtain the birth certificate for security reasons.

How much does it cost to obtain a certified copy of a birth certificate in Mississippi?

The initial search and one certified copy of the birth certificate cost $15.00. If you need additional copies of the same record at the same time, each additional copy costs $5.00. Remember, the search fee is non-refundable, even if the record is not found. Payments are made payable to Mississippi Vital Records.

Can I apply for a Mississippi birth certificate online or by phone?

Yes, you can! For those preferring to use a credit card, Mississippi offers online and telephone options through a private company approved for these transactions. This convenience allows for a quicker application process, though the same identification requirements and fees apply.

What happens if my application for a birth certificate is not processed?

If a birth certificate is not received as expected, the Vital Records Division addresses complaints within 6 months of the initial request. Any delay could be due to various reasons, such as mail errors or additional processing time needed for amendments to the birth record. If an issue arises, contacting the Vital Records Division is recommended for assistance.

Common mistakes

Filling out any official document requires attention to detail, especially when it comes to forms like the 522 Mississippi form, which is the application for a certified Mississippi birth certificate. It’s a critical document, and mishaps can delay the process or even result in the denial of the application. Here are the eight most common mistakes people make when completing this form:

  1. Failing to provide full legal names: It is crucial to use the full legal first, middle, and last names as recorded at the time of birth, including the maiden name of the mother where applicable. Abbreviations or nicknames can lead to processing delays.

  2. Overlooking the name change section: If the name on the birth record has changed since birth due to adoption, marriage, divorce, or legally sanctioned change, it must be disclosed along with the original name.

  3. Omitting the date of birth details: The form requires a complete date of birth, including month, day, and year. Remember, every detail is crucial for the accurate identification of the birth record.

  4. Not specifying the full place of birth: Applicants often forget to include the complete birthplace information requiring the county, city, and state. This information is pivotal for locating the correct record among potentially thousands of others.

  5. Skipping the purposes section: Clearly stating the purpose for which the birth certificate is needed is required. Vague or incomplete responses can result in unnecessary queries or the application being put on hold.

  6. Miscalculating the fee or sending the wrong payment type: The exact payment amount, including fees for any additional copies requested, must be enclosed. Checks or money orders should be payable to Mississippi Vital Records. Notably, cash payments are not accepted and can lead to the application being returned.

  7. Ignoring the photo identification requirement: A valid form of photo identification must accompany the application. Not providing acceptable identification or failing to include it with the application packet is a common oversight that can significantly delay processing.

  8. Incomplete mailing information: The applicant's mailing address, including the apartment number and ZIP Code, must be clearly and correctly provided. An incorrect or incomplete address may prevent the delivery of the birth certificate.

  9. In addition to avoiding these errors, applicants should ensure that all the information provided on the form is accurate and legible. Taking the time to review the application before submission can save a great deal of time and frustration.

Documents used along the form

When applying for a Certified Mississippi Birth Certificate using Form 522, applicants may need to accompany their application with additional documents or forms to ensure the process is smooth and comprehensive. These supplementary documents not only support the application but also adhere to the Mississippi State Department of Health's requirements for processing and verification. Below is a list of forms and documents frequently used alongside Form 522 to assist applicants in gathering the necessary paperwork.

  • Proof of Identification: As outlined in the application process for Form 522, a valid photo identification is required. This could be a state-issued driver's license, a passport, or a military identification card. For those who may not possess these specific forms of ID, alternative documentation such as a utility bill combined with a social security card may suffice to establish identity.
  • Guardianship Papers: If the applicant is the legal guardian of the person named on the birth record, official guardianship documents must be provided. These papers authenticate the applicant's authority to obtain the birth certificate on behalf of the registrant.
  • Legal Representation Documentation: Legal representatives need to submit documentation validating their status as an attorney or a legally authorized advocate. This includes their attorney bar number and proof of their client's consent or court authorization to act on their behalf.
  • Court Order: In cases where the certificate is requested under special circumstances or by a party not directly related to the registrant, a certified copy of a court order may be necessary. This document should explicitly state the requester's right to access the birth record.

In conclusion, preparing the correct supporting documents in addition to Form 522 is crucial for a successful application for a Certified Mississippi Birth Certificate. Applicants are encouraged to review their specific circumstances and collect all necessary paperwork before submitting their application. This proactive approach helps avoid delays and ensures a smoother process in obtaining this vital record.

Similar forms

The Application for a Certified Copy of a Marriage License shares similarities with the Application for a Certified Mississippi Birth Certificate (Form 522). Both documents require personal identification and verification to ensure that the requester has a legitimate interest or legal right to obtain the certified copy. The marriage license application, like the birth certificate application, asks for detailed information about the individuals whose record is being requested, including names and places of event (birth or marriage). Furthermore, both documents have fee structures outlined for the procurement of the certified copy and stipulate nonrefundable fees unless no record is found.

Similar to Form 522, the Application for a Certified Copy of a Death Certificate from the Mississippi State Department of Health Vital Records requires applicants to provide specific details about the deceased, akin to the personal information requested for the birth record. It also mandates the indication of the applicant's relationship to the deceased and the purpose for the record request, paralleling the requirements for requesting a birth certificate. Additionally, this application includes a fee for the search and issuance of certified copies, mirroring the financial aspect of Form 522.

The Application for a Passport in the United States necessitates the submission of a birth certificate as proof of citizenship, drawing a direct line to the need for documents like Form 522. Both the passport application and the birth certificate application involve strict identification requirements to prevent fraud and ensure the correct issuing of important personal documents. Furthermore, they both serve as foundational identity documents that facilitate other legal and governmental processes.

Driver’s License Application processes across states often require a birth certificate for proof of identity and age, highlighting the utility of Form 522. Both applications enforce the need for genuine identification and corroborating documents to authenticate the identity of the applicant. The emphasis on accurate personal information and the protection against identity theft are key features shared between these processes.

The Social Security Card Application process, much like obtaining a birth certificate via Form 522, is pivotal for establishing an individual's identity for government records. Applicants must provide evidence of their birth date and citizenship, for which a birth certificate is crucial. Both sets of application processes are integral to a person’s official identification within the United States, underpinning numerous aspects of civic life.

The Voter Registration process often requires proof of identity and citizenship, for which a birth certificate is a valid document. This makes the process of applying for a birth certificate through Form 522 similar in its role in civic engagement and the exercise of one's rights. Both documents facilitate participation in democratic processes and validate the individual’s identity and eligibility.

The Application for Employment Eligibility Verification (Form I-9) in the United States requires employees to establish their identity and eligibility to work. The birth certificate obtained through Form 522 can serve as proof of identity under List C of the acceptable documents for Form I-9. Both applications are fundamental to compliance with legal employment standards and highlight the importance of verified documentation in the workforce.

College and University Application processes frequently ask for a certified birth certificate to verify an applicant's age and identity, relating closely to the need for and use of Form 522. In both situations, the documents collected are used to affirm personal information that is critical for records and adhering to regulations or policies regarding eligibility and identification.

The process for obtaining a Certified Copy of an Adoption Decree, similar to Form 524, mandates detailed, sensitive information about the individuals involved and requires stringent verification of entitlement to ensure privacy and legal compliance. Both processes deal with highly personal records and share a commitment to protecting individual rights and maintaining accurate, official documents.

Lastly, the Application for a Change of Name through the court system frequently necessitates the submission of a birth certificate to confirm the applicant’s current legal name before any change can be legally effected. This linkage underscores the role of the birth certificate, obtained via Form 522, as a cornerstone document in the legal identification and administration of personal records. Both processes are enveloped in legal formalities to ensure the integrity and veracity of personal identification records.

Dos and Don'ts

When completing the Form 522 for a Certified Mississippi Birth Certificate application, understand the process's importance. A certified birth certificate serves as an essential document for various legal, personal, and educational purposes. To ensure a smooth process, consider the following advice:

  • Do thoroughly review all the instructions provided on the form before you start filling it out. Accurate and complete answers help prevent delays.
  • Do use black or blue ink if the form is a paper copy, as these colors of ink are standard for official documents and ensure legibility.
  • Do provide a copy of your valid photo identification along with the application. Acceptable forms include a Photo Driver’s License, Photo State Issued ID, Passport, or Military ID among others listed in the form’s instructions.
  • Do ensure that all information provided on the form matches the official records. For example, if there has been a name change since birth, accurately indicate so and provide the original name if applicable.
  • Do include the correct fee with your application. Remember, the search fee is non-refundable, and extra charges apply for additional copies of the birth certificate.
  • Do double-check your mailing address and contact information. Providing correct and complete details will prevent delays in sending your certified copy.
  • Don't leave sections of the form blank unless they truly do not apply to your request. If unsure about how to fill in a part, it’s better to seek guidance than to submit incomplete information.
  • Don't send cash through the mail with your application form. For safety and proof of payment, use a check or money order payable to Mississippi Vital Records, or pay by credit card if submitting online or by phone.
  • Don't underestimate the importance of submitting adequate proof of identity and relationship to the person on the record if you are requesting on behalf of someone else. This is vital for the application’s approval.
  • Don’t ignore the eligibility criteria listed in the form’s instructions. Only specific relationships to the person on the birth certificate are allowed to request a certified copy.
  • Don’t forget to sign the application. An unsigned form is incomplete and will result in processing delays or even the return of your application.
  • Don't hesitate to contact the Mississippi Vital Records office if you have questions or concerns about your application. Help is available, and getting clarification can save time.

Remember, the details and effort you put into accurately completing the Form 522 for a Mississippi Birth Certificate can significantly affect the ease and speed of the process. Paying close attention to the dos and don'ts will help ensure your application is processed efficiently.

Misconceptions

When it comes to obtaining vital records, misunderstandings can complicate what should be a straightforward process. Specifically, the Application for a Certified Mississippi Birth Certificate (Form 522) is subject to common misconceptions that bear clarification. Here are six misconceptions and the truths behind them:

  • Everyone can request a copy of a birth certificate. In fact, Mississippi law is very specific about who can request a certified copy of a birth certificate. Only persons with a “legitimate and tangible interest” — such as the registrant (if of legal age), parents, spouse, siblings, grandparents/children of the registrant, legal guardians, legal representatives of an authorized person, licensed adoption agencies, and individuals or parties bearing a court order — are allowed to make this request.

  • If the record is not found, your money is lost. This misconception overlooks the Form 522 provision that the initial search fee is nonrefundable; however, it covers the cost of a thorough search, not just the issuance of a certificate. If the search fails to locate the record, the applicant receives a “Not on File” statement, ensuring the fee paid is for a service rendered, not just for a successful outcome.

  • Any form of ID will suffice to request a birth certificate. The form specifies acceptable types of photo identification that must accompany an application. These include a valid driver’s license, state-issued ID card, passport, military ID, or school, college, or university IDs, among others. Without proper ID, the application will be returned unprocessed.

  • It’s okay to send cash for the payment of fees. The instructions explicitly advise against sending cash. Payments should be made through a check or money order payable to Mississippi Vital Records. This ensures the security of the transaction and proper accounting of fees paid for requested services.

  • Birth certificates for genealogy purposes follow the same rules as other requests. While certified copies of birth records are restricted to individuals with a legitimate and tangible interest, birth records for genealogy purposes are an exception. These records, available for birth events occurring over 100 years ago, can be requested for genealogy research. However, these requests yield plain paper copies rather than certified copies.

  • Processing and delivery times are guaranteed. Processing times can vary, and while the form estimates a general timeframe of 7 to 10 working days for processing after the receipt of request, this does not factor in additional processing time that may be required for amendment actions or other unforeseen delays. Mail-in requests also depend on the efficiency of postal services, and while options for speedier delivery exist, they are subject to the terms and conditions of those services.

Understanding these specifics can significantly streamline the process of requesting a certified Mississippi birth certificate, avoiding unnecessary delays and ensuring compliance with state law and regulations.

Key takeaways

When applying for a Certified Mississippi Birth Certificate, understanding the process and requirements is crucial for a smooth experience. Here are five key takeaways from filling out and using the Mississippi Form 522:

  • The application requires detailed information, including the full name on the birth record, and, if applicable, any name changes since birth, the date and place of birth, and the full names of both parents. This ensures the accuracy of the record being requested.
  • A non-refordable search fee of $15.00 is necessary for the application process, with an option to purchase additional certified copies at $5.00 each. This fee covers the search for the birth record, and, if the record cannot be found, a “Not on File” statement will be issued instead.
  • It is mandatory to provide a valid photo identification along with the application to verify the identity of the person requesting the birth certificate. Acceptable forms of ID include a Driver’s License, State Issued Identification Card, or Passport, among others. This requirement helps protect individuals' privacy and ensures that records are released only to authorized individuals.
  • Only certain individuals have eligibility to request a Certified Mississippi Birth Certificate. These include the registrant (if of legal age), parents, spouse, siblings, legal guardians, legal representatives, and others as outlined by Mississippi law. Proof of relationship or legal authorization may be required, underscoring the state’s commitment to protecting individual privacy.
  • Applications can be submitted via mail or in person, with the processing time generally being 7 – 10 working days after receipt of request. However, additional processing time may be necessary for amendments to the birth record, highlighting the importance of accuracy and thoroughness when filling out the application.

By adhering to these guidelines and ensuring all required documentation is properly completed and submitted, individuals can navigate the process of obtaining a Certified Mississippi Birth Certificate with more ease and efficiency.

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