Missouri Mother's Affidavit to Legitimate Birth Record (MO 580-0656 (VS-443))
Official state formParentage and paternityForm MO 580-0656 (VS-443)Free downloadLast verified November 10, 2026
Mother's notarized affidavit used together with the father's affidavit to create a new, legitimated birth certificate after the parents marry following the child's birth. It is returned to the Bureau of Vital Records.
Who can use this form
- The mother of the child, who has married the child's natural father
- It is used together with the Father's Affidavit to Legitimate Birth Record
What to send with it
- The mother's and the father's notarized affidavits, originals in black ink
- A certified copy of the marriage license or marriage certification
- A check or money order
- A legal sized self-addressed stamped envelope
Where to send it
- Mail to
- Missouri Department of Health and Senior Services Bureau of Vital Records 930 Wildwood Drive Jefferson City, Missouri 65109
- State fee
- $15.00 processing fee to legitimate a birth record, per the office's page. Certified copies of the new certificate cost $15.00 each. No fee is printed on the form.
- Typical processing
- Not provided
- Form revision
- 11-01
- Source
- Official government page