Mississippi Death Certificate Application

ID requirements set by the issuing agency must be met before it can issue a certificate. We usually email instructions on how to send your ID within one week of submitting this application.

Items with an * asterisk are required fields.

Important: The online Vital Certificate Processing Fee is payable upon ordering and the relevant Vital Statistics Agency Fee and any other shipping fees are payable upon review and acceptance by the State Agency and will appear on your credit card statement separately.

Please note: All state certificate fees are subject to change without notice.

1. Information About the Certificate

Certificate Type *State / Territory *County where the death occurred *

City / town where the death occurred *

City/County of Death: Please select the exact city and county of death for the subject of the certificate. Enter the city or town where the death occurred.

Reason for Request *

2. Information About the Requestor

Important: The requestor is the person ordering the certificate. The name of the credit card holder must be the same as the requestor.

Your relationship to the person named on the certificate *

If you are not named on the record you may be required to provide proof of Relationship, Entitlement, and/or Court Documents.

Important: The relationship selected must match your relationship to the subject exactly.

First Name of Requestor *Middle Name of RequestorCurrent Last Name of Requestor *Suffix

Date of Birth & Social Security Number of the Requestor:This is an additional safeguard to protect your identity and the security of the requested certificate.

Your date of birth *Your Social Security Number *Shown only while you type. Never stored on this device.Valid SSN only, no ITINs or temporary SSNs permitted.

3. Information About the Subject

Name of Subject. Enter the name exactly as it appears on the certificate.

First Name of Subject *Middle Name of Subject Current Last Name of Subject *Suffix

Date of Death *The exact date of death of the person listed on the record.Date of birth, if known Age at death, if known Gender *

Race

Facility or place of death, if known Hospital, care facility, residence, or other location.

4. Shipping & Contact Information

Requirements: The Shipping Address Name must match the Requestor Name.

Home Address

Information about the Home Address Name: The name on the Home Address Name must match the Requestor Name.

Home Address Type *

First Name

Not provided

Last Name

Not provided

Address Line 1 *Address Line 2 (optional)City *State *

Zip/Postal Code *

Is your Shipping Address the same as your Home Address? Yes NoYour Home Address will be copied below when you choose Yes. You can still edit it.

Shipping Address

Shipping Address: If certificate is delivered by UPS, it must be signed for at this address. Certificates delivered by UPS cannot be sent to a P.O. Box.

Shipping Address Type *

First Name

Not provided

Last Name

Not provided

Address Line 1 *Address Line 2 (optional)City *State *

Zip/Postal Code *

Contact Information

Phone Number *

Email address *Order confirmation, tracking, and updates are sent to this address.Confirm email address *

5. Copies & Processing

Important: Insurers, banks and estate administrators may each need a certified copy to process a claim or close an account. Some keep the copy you submit, so having additional copies can help with separate requests.

Number of Certified Copies *

First certificate $149.00 · Additional certificates $64.00 each. Agency and shipping fees are separate.

Important: Most banks, insurers and agencies each keep their own certified copy. Additional certified copies are often required for:

Life insurance claims
Bank and brokerage accounts
Social Security and survivor benefits
Pension, 401(k) and IRA claims
Vehicle and real estate title transfers
Probate and estate settlement
Final tax returns
Personal files, a spare for the family file

Delivery Method *

Regular mail delivery is available, however, we recommend you choose a more secure shipping method that provides faster delivery and tracking of your order.

Processing speedStandard ProcessingYour application is prepared and processed using our standard service workflow. Processing typically takes 5-7 business days.IncludedRush ProcessingWe aim to submit your application by the next business day. Government office and delivery time is extra.$12.00

Processing times refer to USVC's processing of your application. Government agency processing and certificate delivery times may vary.

6. Billing Details

Requirements: The Billing Address Name must match the Requestor Name.

Your billing address is used to verify your payment. Card details are collected in the Credit Card Details section below.

Is your Billing Address the same as another address? Same as Home Address Same as Shipping Address Neither: enter a billing address belowThe selected address has been copied below. You can still edit it.

Billing Address

County Requirements: For the selected County, the Billing Address Name must match the Requestor Name.

Billing Address Type *

First Name

Not provided

Last Name

Not provided

Address Line 1 *Address Line 2 (optional)City *State *

Zip/Postal Code *

7. Credit Card Details

Important: We currently accept Visa and Mastercard only. Other forms of payment, including American Express, Discover and digital wallets, are not supported at this time.

Credit Card Number *

Credit Card Expiry Date (MM/YY) *CVV *

Important: This is a 3-digit code on the back for Visa and Mastercard.

8. Order Summary

Mississippi Death Certificate

Number of Certified Copies: 1 certificate

Delivery method: Regular

First certificateOnline Processing Fee$149.00

Standard Processing5-7 business daysIncluded

TOTAL$149.00

9. Submit Your Order

Verify Order

I certify that the information provided is accurate to the best of my knowledge and that I am authorized to request this record.
I understand ID verification instructions will be emailed to me with steps on how to send a copy of my government-issued picture ID for verification.
I accept the Terms of Service, including the refund and cancellation policies.
Authorization for the complete order payment. I authorize USVC to charge the Vital Certificate Processing Fee shown on my order. The relevant Vital Statistics Agency Fee and any other shipping fees are payable upon review and acceptance by the State Agency and will appear on my credit card statement separately.

Type your full name in the field below. Typing your full name constitutes a signature and an agreement that you have read and agreed to all the provisions above. It additionally affirms that all information provided on this order form is complete and accurate and that you are an authorized individual to obtain the requested vital certificate.

Type your full name in the field below to submit your order.

Before submitting your order, please take a moment to review your information. Incorrect information provided will lead to delays and could possibly cancel your order.

Have on hand

Decedent's full name, date of death, and place of death

Your relationship to the person named on the record

Requestor contact details and a deliverable shipping address

Mississippi death questions, answered

What is a death certificate used for?

Common uses include insurance claims, probate and property transfers, closing accounts, and notifying Social Security. The receiving office decides whether a copy is accepted.

What does USVC review before filing?

We check your application for missing details and inconsistencies, then file it with the issuing agency. Agency fees are charged separately upon review and acceptance.

How long does the USVC part take?

Most people finish our guided form in about 10 minutes. Agency processing and delivery times vary by state. Confirm current times with the issuing agency.