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Missouri Affidavit for Correction of a Birth Record (MO 580-0645 (VS-460))

Official state formCorrections and amendmentsForm MO 580-0645 (VS-460)Free downloadLast verified November 10, 2026

Notarized affidavit to correct errors on a registered Missouri birth record, sent with supporting documents to the Bureau of Vital Records. The same form is also used for death and fetal death records.

Who can use this form

  • One of the parents
  • The legal guardian
  • The registrant, if of legal age
  • The individual responsible for filing the certificate
  • Medical information can be changed only by the medical certifier or staff of the institution that filed the certificate

What to send with it

  • The original, fully completed affidavit (not a copy), with no erasures, write-overs or white-out
  • Documentary evidence that supports the correction: a filed document at least five years old showing the full name and the age or date of birth
  • The affidavit must be signed in the presence of a notary public
  • Major deficiencies cannot be corrected with this affidavit; they need a certified court order

Where to send it

Mail to
DHSS - Bureau of Vital Records 930 Wildwood Dr. Jefferson City, MO 65109
State fee
No fee to process a correction affidavit. Processing a court order costs $15.00. New copies of the corrected birth certificate cost $15.00 each.
Typical processing
Not provided
Form revision
4-2025
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Missouri Affidavit for Correction of a Birth Record (MO 580-0645 (VS-460)) | Missouri Form