Missouri DHSS - Vital Records Applications and Forms · Missouri state form
Father’s Affidavit to Legitimate Birth Record MO 580-0657
Use this affidavit to provide information for an amended birth record and swear that you are the child’s father and have married the child’s natural mother.
- What this form is
- This affidavit collects information about the child, father, mother, marriage, and requested name change for an amended birth record. The father must sign and date it in the presence of a notary and swear that the information is true and complete. Complete the form in black ink. Faxed, photographed, or reproduced copies will not be accepted; the form states that the original is required.
- Who needs it
- A father who has married the child’s natural mother and wants the child’s amended birth record to bear his name needs this affidavit.
- Why it needs a notary
- The father’s signature must be notarized. 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 provide the original; faxed, photographed, and reproduced copies will not be accepted.
Questions
Does the Father’s Affidavit to Legitimate Birth Record 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. Online notarization with a commissioned online notary is an option.
Who completes this affidavit?
The father completes the affidavit with information about himself, the child, the child’s mother, and the marriage. He swears that he is the child’s father, has married the natural mother, and wants the child to bear his name.
Can I submit a fax or copy of the affidavit?
No. The form states that faxed, photographed, or reproduced copies will not be accepted and will be returned for the original. It also instructs the user to complete the form in black ink.