Missouri DHSS - Vital Records Applications and Forms · Missouri state form

580-2224 Notice of Intent to Claim Paternity

Use this form to record a man’s intent to claim paternity of a child with the Missouri Putative Father Registry.

What this form is
This form lets a man who is not married to the child’s mother file a notice of intent to claim paternity with the Putative Father Registry. It requests information about the child, mother, and father, along with the father’s sworn statement. The form states that filing does not add the father’s name to the child’s record. The father must sign it in the presence of a notary.
Who needs it
A man who is not married to the child’s mother and intends to file an official claim of paternity with the Putative Father Registry may use this form.
Why it needs a notary
The father must sign this form in the presence of a notary. This can be done online with a commissioned online notary.
How to submit it
Complete the form in black ink, sign it in the presence of a notary, and mail it to the Bureau of Vital Records at the address printed at the top.

Questions

What is Missouri form 580-2224 used for?

Form 580-2224 records a man’s intent to claim paternity of a child with the Putative Father Registry. The form states that filing does not add the father’s name to the child’s record.

Who can use the Notice of Intent to Claim Paternity?

The form says a man who is not married to the child’s mother may acknowledge paternity by completing it in the presence of a notary. It requests information about the child, mother, and father.

Does form 580-2224 need to be notarized?

Yes. The form says the father must sign in the presence of a notary and includes a jurat for the notary’s signature and commission information. It can be notarized online with a commissioned online notary.