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Mississippi Death Certificate Application

Official state formFree downloadLast verified November 9, 2026

Application 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).

Who can use this form

  • A spouse, child, parent or sibling of the person on the record
  • A grandparent of the person on the record
  • A legal guardian
  • A legal representative of one of the above, with proof of representation

What to send with it

  • The completed application
  • A copy of one valid photo ID, such as a driver's license or passport (or two accepted secondary IDs)
  • Proof of your relationship if you are not the person on the record's immediate family
  • A check or money order payable to Mississippi Vital Records

Where to send it

Mail to
Mississippi Vital Records P.O. Box 1700 Jackson, MS 39215-1700
State fee
Not provided
Typical processing
About 4 to 5 weeks
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Mississippi Death Certificate Application | Mississippi Form