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Missouri Affidavit When Father Is Deceased (MO 580-0658 (VS 444))

Official state formParentage and paternityForm MO 580-0658 (VS 444)Free downloadLast verified November 10, 2026

Notarized affidavit from a relative of the deceased father, used to legitimate a Missouri birth record when the father has died. It goes to the Bureau of Vital Records with the other legitimation documents.

Who can use this form

  • One of the father's parents, or his brother or sister, per the office's page
  • The form asks for the signer's relationship to the father

What to send with it

  • The original notarized affidavit, in black ink
  • A certified copy of the father's death certificate
  • The other legitimation documents and the fee

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. No fee is stated on the form.
Typical processing
Not provided
Form revision
11-01
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Missouri Affidavit When Father Is Deceased (MO 580-0658 (VS 444)) | Missouri Form