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

Who can use this form

• The informant
• The funeral director or a person acting for the funeral director, for the items listed on the form
• Medical information can be changed only by the medical certifier, coroner or medical examiner who certified the cause of death

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. The form prints $15.00 to process a court order; the office's fee page lists $14.00 for a court-ordered correction of a death record. New copies of the death certificate cost $14.00, and $11 for each additional copy.

Typical processing

Not provided

Form revision

4-2025

Source

Official government page