Get 580-0645 (3-19) Affidavit For Correction Of A Birth Of Death Record. Missouri Department Of Health

Completing the 580-0645 (3-19) affidavit for correction of a birth or death record from the Missouri Department of Health is an important task that requires careful attention to detail. This guide will provide step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to successfully complete your affidavit.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by indicating the type of certificate you wish to amend. Clearly print or type the information identifying the certificate, including the state file number and details of the item to be corrected.
3. In the designated area, provide the present legal name of the individual who is the subject of the record. Specify whether this is for a birth or death certificate by circling the relevant option.
4. Fill in the date of birth or date of death as shown on the record, ensuring to circle the correct option.
5. In the section labeled 'should be corrected as follows,' list each item that requires correction. For each item, enter the incorrect information in the 'instead of' field and the correct information in the 'should read' field.
6. Once all corrections are noted, ensure the affidavit is true to the best of your knowledge by signing it in the presence of a notary public. They will need to witness your signature and complete the notary section, including their seal.
7. Finally, provide your relationship to the individual listed, your present address, and contact phone number.
8. After reviewing all entries for accuracy, you can save changes to your form, download, print, or share the document as necessary.

Complete your affidavit online today to ensure your records are accurate and updated.