Missouri Rescission of Affidavit Acknowledging Paternity (MO 580-2216 (VS-466))
Official state formParentage and paternityForm MO 580-2216 (VS-466)Free downloadLast verified November 10, 2026
Form that rescinds (cancels) the legal finding of paternity created by an Affidavit Acknowledging Paternity. It is filed with the Bureau of Vital Records. It does not remove the father's information from the birth record; only a court order does.
Who can use this form
- Either person, mother or father, who signed the Affidavit Acknowledging Paternity
- It must be filed within the earlier of 60 days from the last signature on the affidavit or the date of a proceeding to establish child support
What to send with it
- The original form in black ink; no faxed or reproduced copies
- Completed in the presence of a notary public or two witnesses
- A witness can be any adult except a parent of the child
Where to send it
- Mail to
- DHSS - Bureau of Vital Records 930 Wildwood Dr. Jefferson City, MO 65109
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- 10-2024
- Source
- Official government page