Missouri DHSS - Vital Records Applications and Forms · Missouri state form
Affidavit When Father Is Deceased
This affidavit provides information to establish an amended birth record when the father is deceased. The affiant must sign in the presence of a notary.
- What this form is
- The Missouri Department of Health and Senior Services Bureau of Vital Records affidavit collects information about the deceased father, affiant, mother, and child. It states that the affiant swears the deceased is the child’s father and requests information needed to establish an amended birth record showing the child’s birth as legitimate. Complete the form in black ink. The affiant’s signature must be notarized, and the original form is required.
- Who needs it
- An affiant providing information to establish an amended birth record for a child whose father is deceased may need this affidavit.
- Why it needs a notary
- The affiant must sign in the presence of a notary. This can be done online with a commissioned online notary; the form still requires the original.
- How to submit it
- Complete the form in black ink and submit the original. Faxed, photographed, or reproduced copies will not be accepted and will be returned.
Questions
Who uses the Affidavit When Father Is Deceased?
An affiant uses this form to provide information about a deceased father and child for establishing an amended birth record.
Is a notary needed for this affidavit?
Yes. The form says the affiant must sign in the presence of a notary. This can be done online with a commissioned online notary.
Can I submit a fax or photocopy?
No. The form states that faxed, photographed, or reproduced copies will not be accepted and will be returned. Submit the original.