MEMORANDUM

2009 Memorandums

IM-#89      12/30/09

DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
P.O. BOX 2320
JEFFERSON CITY, MISSOURI
TO:
ALL COUNTY OFFICES
FROM:
ALYSON CAMPBELL, DIRECTOR
SUBJECT:
CHANGES IN BUREAU OF VITAL RECORDS (BVR) AFFIDAVIT ACKNOWLEDGING PATERNITY (VS 465) AND INTRODUCTION OF ADDITIONAL FORMS
INCOME MAINTENANCE MANUAL REVISION #40
0105.025.15.05
0205.050.25.05
FORMS MANUAL REVISION #16
VS-465 INSTRUCTIONS

DISCUSSION:

The Affidavit Acknowledging Paternity (VS 465) is revised for use beginning January 1, 2010. It is now four separate documents: Written Notice of Alternatives, Rights and Responsibilities (VS 465); Mother’s Affidavit Acknowledging Paternity (VS-465M); Father’s Affidavit Acknowledging Paternity (VS 465F); and Husband’s Denial of Paternity (VS 465D).

Beginning January 1, 2010, the Bureau of Vital Records (BVR) will only accept the 01-10 revision of the VS-465 series for births occurring on/after January 1, 2010. January 1, 2010 through April 15, 2010, the 11-01 version should be used for births occurring December 31, 2009 and earlier. Effective April 15, 2010, the 01-10 revision must be used for all births - prior to and after January 1, 2010.

The Affidavit Acknowledging Paternity (VS 465) must accompany all other parts of the document: the Mother’s Affidavit Acknowledging Paternity (VS 465M), the Father’s Affidavit Acknowledging Paternity (VS 465F), and/or the Husband’s Denial of Paternity (VS 465D).

The four-page format is the main change to the document. The VS 465 series is used to help unmarried parents establish paternity. Because the paternity affidavit is no longer on a single piece of paper, the eligibility specialist must be aware of three significant changes.

A PDF numbered version of the new VS 465 series and instructions are available on the Intranet. These forms must be obtained from the warehouse. The BVR will not accept copies of these forms. DO NOT use these PDF documents.

To access the PDF numbered version and instructions:

Manual Section Updates

Income Maintenance Manual sections 0105.025.15.05 and 0205.050.25.05 have been updated to include this information.

The IM Forms manual has been updated to include the new VS 465 series of forms.

NECESSARY ACTION:

JP


2009 Memorandums