Forms

• PDF [85KB]
  Birth Certificate Application (Spanish) PDF [85KB]
• PDF [45KB]
  Marriage Record Application (Spanish) PDF [45KB]
• PDF [46KB]
  Death Certificate Application (Spanish) PDF [46KB]
• PDF [248KB]
  Birth Certificate Application PDF [248KB]
• PDF [169KB]
  Marriage Record Application PDF [169KB]
• PDF [183KB]
  Death Certificate Application PDF [183KB]
• PDF [1MB]
  Affidavit to Amend Mississippi Certificate of Live Birth PDF [1MB]
  Form 1126
• PDF [366KB]
  Acknowledgement of Paternity (English) PDF [366KB]
  Form 564
• PDF [55KB]
  Acknowledgement of Paternity (Spanish) PDF [55KB]
  Form 564
• Marriage Record Application Instructions
• Death Certificate Application Instructions
• Birth Certificate Application Instructions

Mississippi State Department of Health • 570 East Woodrow Wilson Dr • Jackson, MS 39216 • 866‑HLTHY4U • Contact and information