Minnesota Spouse's Non-Parentage Statement Revocation Form (DHS-3159E)
Minnesota Department of Human ServicesParentage and paternityForm DHS-3159EFree downloadLast verified November 10, 2026
Cancels a Spouse's Non-Parentage Statement (DHS-3159C) that was signed and filed, and recreates the legal relationship between the presumed parent and the child. It is filed with the Minnesota Department of Health, Office of Vital Records.
Who can use this form
- The spouse who signed the Spouse's Non-Parentage Statement (DHS-3159C)
- Signing is voluntary and must be done before a notary public
- The form must be filed within 60 days after the statement was signed
What to send with it
- The completed revocation, signed before a notary public
- Names and information that match the Spouse's Non-Parentage Statement you signed and filed
- A new form if you make a mistake; do not cross out words or make corrections
- 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
- Source
- Official government page