Blank 522 Mississippi Form

When filling out the 522 Mississippi form for a certified birth certificate, it is essential to approach the task with care and attention to detail. Below are some guidelines to help ensure a smooth application process.

• Do provide accurate information. Ensure that all names, dates, and places are correct. Mistakes can lead to delays.
• Do include a valid photo identification. Acceptable forms include a driver’s license, passport, or military ID. Without this, your application may be returned.
• Do pay the correct fee. The application requires a non-refundable search fee of $15. Ensure you include the payment with your application.
• Do specify your relationship to the applicant. Clearly state your connection to the individual whose birth certificate you are requesting.
• Don’t send cash. Payments should be made via check or money order only, as cash is not accepted.
• Don’t forget to sign the application. Your signature is necessary for processing your request, so ensure it is included.

Following these guidelines will help facilitate a successful application for a certified birth certificate. Remember, attention to detail is crucial, and providing the necessary documentation will save time and potential frustration.

Detailed Instructions for Using 522 Mississippi

Filling out the 522 Mississippi form is a straightforward process that requires specific information about the applicant and the birth record being requested. Follow these steps carefully to ensure your application is processed without delays.

1. Begin by entering the full name of the person whose birth certificate you are requesting. Include their first, middle, and last names.
2. If the individual has changed their name since birth, indicate this by checking the box and providing the original name.
3. Fill in the date of birth in the format of month, day, and year.
4. Provide the birthplace, including county, city, and state.
5. Select the sex of the individual by checking either the male or female box.
6. Indicate the race of the individual by checking the appropriate box.
7. Enter the full maiden name of the mother, including first, middle, and last names.
8. Enter the full name of the father, including first, middle, and last names.
9. Specify your relationship to the individual whose birth certificate you are requesting.
10. State the purpose for which you need the certified copy.
11. Sign and date the application in the designated areas.
12. Prepare payment of the non-refundable search fee of $15.00 by check or money order made out to Mississippi Vital Records.
13. If requesting additional certified copies, indicate the number and calculate the total amount enclosed.
14. Ensure you include a valid photo identification with your application.
15. Fill in your name and delivery address, including city, state, and ZIP code.
16. Provide a phone number where you can be reached.
17. Finally, mail the completed application, payment, and identification to the address provided for Mississippi Vital Records.

What is the 522 Mississippi form used for?

The 522 Mississippi form is an application for obtaining a certified copy of a birth certificate. It is used by individuals who have a legitimate interest in the birth record, such as the registrant, parents, or legal guardians.

Who is eligible to request a certified copy of a birth certificate?

Eligibility includes the registrant if of legal age, parents listed on the birth record, spouses, siblings, grandparents, children, legal guardians, legal representatives, and licensed adoption agencies. Additionally, individuals can request copies through a court order.

What identification is required to submit the form?

Applicants must provide valid photo identification, such as a driver's license, state-issued ID, passport, military ID, or school ID. Alternatively, two non-photo forms of ID may be submitted from a specified list, including a Social Security card or utility bill showing the address.

What is the fee for obtaining a certified copy of a birth certificate?

The non-refundable search fee is $15.00, which includes one certified copy of the birth record if found. If additional copies are needed, they can be ordered for $5.00 each. Payment must be made via check or money order, payable to Mississippi Vital Records.

What happens if the birth record cannot be found?

If the requested birth record is not located, the applicant will receive a “Not on File” statement. The search will cover surrounding counties and five years centered on the specified year of birth.

How long does it take to process the application?

Processing time is generally 7 to 10 working days after the request is received. If amendments to the record are necessary, additional processing time may be required.

Can the application be submitted online?

Yes, the application can be submitted online if payment is made by credit card. Applicants can access the online service through the Mississippi Department of Health's website or by calling a designated phone number for assistance.

What should be done if the certified record is not received?

If the certified record is not received within 6 months of the original request, the applicant can file a complaint. For records sent by U.S. Postal Service, it is recommended to wait 3 weeks after mailing the request before inquiring.

Where should the completed application be sent?

The completed application, along with payment and a copy of identification, should be mailed to Mississippi Vital Records, P.O. Box 1700, Jackson, MS 39215-1700.

What should be included in the application if the name has changed?

If the applicant's name has changed since birth, they should indicate the original name on the form and provide details about the name change, such as the date and nature of the change (e.g., marriage or legal name change).

Misconception 1: Anyone can request a certified birth certificate.

Only individuals with a legitimate and tangible interest can obtain a certified copy. This includes the registrant, parents, and certain family members, among others.

Misconception 2: The application fee is refundable.

The fee for a birth record search is nonrefundable, except for fees paid for additional copies when no record is found.

Misconception 3: Any form of identification is acceptable.

Applicants must provide specific types of valid photo identification. Acceptable forms include a driver’s license, passport, or military ID. Failure to provide proper ID will result in the application being returned.

Misconception 4: Processing times are the same for all requests.

Processing times can vary. Generally, it takes 7 to 10 working days after receipt of the request. Additional time may be needed for amendments.

Misconception 5: You can pay the application fee in cash.

Cash payments are not accepted. Applicants must pay by check or money order made out to Mississippi Vital Records.