Mississippi will issue an amended birth certificate upon receipt of "a certified court order, a medical statement that attests to the reassignment, and the required fee." Miss. Admin. Code 15-5-85:3.21. Mississippi Vital Records will issue an amended birth certificate with the legally updated name and sex as a "marginal notation", meaning the birth certificate will show both names and both genders. To apply for an updated birth certificate the applicant should submit the court ordered name change, the court ordered gender change, the medical statement and the applicable fee to Mississippi Vital Records, 222 Marketridge Dr. Ridgeland, MS 39157.