Missouri Affidavit When Mother Is Deceased (MO 580-0659 (VS 441))
Official state formParentage and paternityForm MO 580-0659 (VS 441)Free downloadLast verified November 10, 2026
Notarized affidavit from a relative of the deceased mother, used to legitimate a Missouri birth record when the mother has died. It goes to the Bureau of Vital Records with the other legitimation documents.
Who can use this form
- One of the mother's parents, or her brother or sister, per the office's page
- The form asks for the signer's relationship to the deceased
What to send with it
- The original notarized affidavit, in black ink
- A certified copy of the mother'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
- Source
- Official government page