Mississippi Birth Certificate Application (Form 522) (522)
Official state formForm 522Free downloadLast verified November 9, 2026
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.
Who can use this form
- The person named on the record, if of legal age
- A parent listed on the record, a spouse, sibling, grandparent or child
- A legal guardian or legal representative, with proof
- Anyone else by court order
What to send with it
- The completed and signed application
- A copy of a valid photo ID (or two secondary IDs showing your name and address)
- The state fee by check or money order payable to Mississippi Vital Records
Where to send it
- Mail to
- Mississippi State Department of Health Vital Records Office P.O. Box 1700 Jackson, MS 39215-1700
- State fee
- Not provided
- Typical processing
- 7 to 10 business days, plus shipping time
- Source
- Official government page