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Minnesota Spouse's Non-Parentage Statement (DHS-3159C)

Minnesota Department of Human ServicesParentage and paternityForm DHS-3159CFree downloadLast verified November 10, 2026

Ends the legal relationship between a presumed parent (the mother's spouse or former spouse) and a child when a matching Recognition of Parentage is also filed. It is filed with the Minnesota Department of Health, Office of Vital Records.

Who can use this form

  • A presumed parent of a child born during the marriage to the child's mother
  • A presumed parent of a child born within 280 days after the divorce from the child's mother
  • Signing is voluntary and must be done in front of a notary public

What to send with it

  • The completed statement, signed in front of a notary public
  • Names and information that match the child's birth record
  • A new form if you make a mistake; do not cross out words or make corrections
  • File it within one year after the child's birth
  • Fax the form to 877-490-5564, or mail it if you cannot fax

Where to send it

Mail to
Minnesota Department of Health Office of Vital Records PO Box 64499 St. Paul, MN 55164-0499
State fee
Not provided
Typical processing
Not provided
Issued by
Minnesota Department of Human Services
Form revision
12-24
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Minnesota Spouse's Non-Parentage Statement (DHS-3159C) | Minnesota Form