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Missouri Mother's Affidavit Acknowledging Paternity (MO 580-2958 (VS 465M))

Official state formParentage and paternityForm MO 580-2958 (VS 465M)Free downloadLast verified November 10, 2026

Mother's part of the voluntary acknowledgment of paternity. It is filed with the Bureau of Vital Records together with the Father's Affidavit Acknowledging Paternity.

Who can use this form

  • The mother of a child whose parents are not married to each other
  • It is filed together with the Father's Affidavit Acknowledging Paternity

What to send with it

  • The Mother's and the Father's Affidavit Acknowledging Paternity, submitted together
  • The Husband's Denial of Paternity, if it applies
  • Originals in black ink, with no erasures, white-outs or write-overs; no faxed or reproduced copies
  • Each affidavit signed in the presence of a notary public or two witnesses who are not related to the parents

Where to send it

Mail to
DHSS - Bureau of Vital Records 930 Wildwood Dr. Jefferson City, Missouri 65109
State fee
Not provided
Typical processing
Not provided
Form revision
10-2024
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Missouri Mother's Affidavit Acknowledging Paternity (MO 580-2958 (VS 465M)) | Missouri Form