Missouri DHSS - Vital Records Applications and Forms · Missouri state form
Affidavit When Mother Is Deceased MO 580-0659
Use this affidavit to report information about a deceased mother and a child’s birth record, including the father’s name. The affiant must sign before a notary.
- What this form is
- The Missouri Department of Health and Senior Services Bureau of Vital Records affidavit collects information about the affiant, the deceased mother, the child’s birth, and the child’s natural father. It also requests details for establishing an amended birth record showing the child’s birth as legitimate. Complete the form in black ink, and provide the original; faxed, photographed, or reproduced copies will not be accepted.
- Who needs it
- An affiant providing information about a deceased mother and a child’s birth record may use this affidavit to support an amended birth record.
- Why it needs a notary
- The affiant must sign in the presence of a notary. This notarization can be completed online with a commissioned online notary.
- How to submit it
- Complete the form in black ink and submit the original to the Bureau of Vital Records. Faxed, photographed, or reproduced copies will not be accepted.
Questions
What is the Affidavit When Mother Is Deceased used for?
The form collects information about the affiant, the deceased mother, the child’s birth, and the child’s natural father. It also requests information for establishing an amended birth record showing the child’s birth as legitimate.
Does this affidavit need to be notarized?
Yes. The form says the affiant’s signature must be signed in the presence of a notary and includes a notary section for the oath, signature, and commission details. Online notarization is available with a commissioned online notary.
Can I submit a copy of the completed affidavit?
No. The form states that faxed, photographed, or reproduced copies will not be accepted and will be returned. Complete the form in black ink and submit the original to the Bureau of Vital Records.