Mississippi State Department of Health
  [close]

Information


Instructions

Photo ID Requirement

If you are applying for yourself, or you are applying for someone else as their spouse, parent, grandparent, sibling, child, grandchild, guardian, or legal representative, then you must provide a completed application and a copy of your valid photo identification. Acceptable forms of identification are the following:

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 a local, state or federal agency requesting a record, indicate in the space provided for "relationship" the name of the agency.

Failure to Receive

If your records fail to arrive, notify the Vital Records office. 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 the correct address within 6 months of request.

Please print and return the following application form:

Contact

For more information email: VRInfo@HealthyMS.com or phone the Vital Records division at (601) 206-8200.



Links referenced
VRInfo@HealthyMS.com    mailto:VRInfo@HealthyMS.com

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

print  close