Get Mo Dhss 580-0716 2021-2025

The Missouri Department of Health and Senior Services requires users to complete the MO DHSS 580-0716, a Certificate of Dissolution of Marriage form, accurately to ensure proper processing. This guide will provide clear, step-by-step instructions on how to complete this form online.

Follow the steps to complete the MO DHSS 580-0716 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the case number in the designated field at the top of the form.
3. Input the first party’s name in the specified format: first, middle, and last name. Ensure accuracy for all spelling.
4. Enter the social security number for the first party in the appropriate field, ensuring all digits are correct.
5. Provide the residence information by indicating the city, town, or location where the first party resides.
6. Fill in the date of birth for the first party using the month, day, and year format.
7. If applicable, include the last name of the first party prior to their first marriage.
8. Enter the state of residence for the first party and ensure the county is correctly specified.
9. Continue by entering the number of children under 18 living in the same household as noted on the form.
10. Complete sections for the second party in a similar manner: name, social security number, residence details, and birth information.
11. Indicate the date of the marriage and provide the location details for where this marriage took place.
12. Verify the type of decree—dissolution or legal separation—and fill in the date the couple last resided together.
13. If an attorney is petitioning, type or print the name of the petitioner's attorney in the designated section.
14. Finally, certify the date of dissolution and review the document thoroughly for any errors.
15. Once all fields are completed, you can save changes, download, print, or share the completed form as needed.

Complete your MO DHSS 580-0716 form online today for efficient processing.