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Official state forms

Mississippi vital records forms

Applications issued by the Mississippi vital records office, plus the forms of counties and cities that process requests locally. Every PDF is the current official version, checked against the source.

Last verified November 9, 2026

Statewide forms

FormRecordActions
Mississippi Birth Certificate Application (Form 522)Form 522 · Form 522 is the application to order a certified copy of a Mississippi birth certificate. It is filed with the Mississippi State Department of Health, Vital Records Office.
Birth
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Mississippi Death Certificate ApplicationApplication for ordering a certified copy of a Mississippi death certificate. It is filed with Mississippi Vital Records at the Mississippi State Department of Health (MSDH).
Death
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Mississippi Marriage Certificate ApplicationThe Mississippi marriage certificate application is used to order a certified copy of a marriage certificate from the Mississippi State Department of Health, Vital Records.
Marriage
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Mississippi Vital Records Application Forms | Free Official PDFs