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Missouri Request for Filing Birth Certificate as Result of Foreign Adoption (MO 580-2226 (VS-402))

Official state formAdoptionForm MO 580-2226 (VS-402)Free downloadLast verified November 10, 2026

Adoptive parents' request to the Bureau of Vital Records for a Missouri foreign-born birth certificate for a child adopted in another country. The resulting certificate does not serve as proof of citizenship.

Who can use this form

  • Adoptive parents who are Missouri residents
  • Their attorney, per the office's page

What to send with it

  • The completed request, signed by the adopting parents
  • A copy of the original birth certificate and of the adoption decree, with sworn, notarized English translations
  • A copy of the immigration approval showing the child lawfully entered the United States
  • A certified copy of a court order if the child's name was changed
  • The form is from 2004 and prints the P.O. Box address; current office pages use 930 Wildwood Drive, Jefferson City, MO 65109

Where to send it

Mail to
Bureau of Vital Records P.O. Box 570 Jefferson City, MO 65102
State fee
$15.00 to process the foreign born paperwork, per the office's page; no fee is printed on the form. Each copy of the new birth certificate costs another $15.00 and needs an Application for Missouri Vital Record.
Typical processing
Not provided
Form revision
08-04
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Missouri Request for Filing Birth Certificate as Result of Foreign Adoption (MO 580-2226 (VS-402)) | Missouri Form