Application for Missouri Vital Record - Marriage/Divorce/Single Status (MO 580-2995)
Official state formForm MO 580-2995Free downloadLast verified November 5, 2026
The Missouri Department of Health and Senior Services, Bureau of Vital Records application to order a Missouri marriage statement by mail. A marriage statement is not a marriage certificate.
Who can use this form
- The spouses or their immediate family (direct line, up to but not including cousins), a guardian, or an official representative
- Covers marriages recorded by the state from July 1, 1948
- For a copy of the marriage certificate, contact the Recorder of Deeds in the county where the license was issued
What to send with it
- This application, with the marriage statement section filled in, signed in front of a notary public
- Guardianship papers or other tangible interest documents, if they apply
- A self-addressed, stamped return envelope (legal size)
- A check or money order payable to the Missouri Department of Health and Senior Services (no cash)
Where to send it
- Mail to
- Missouri Department of Health and Senior Services Bureau of Vital Records 930 Wildwood Drive Jefferson City, MO 65109
- State fee
- $15 per statement. The non-refundable fee covers a 5-year search.
- Typical processing
- About 4 to 8 weeks for mail-in requests to Jefferson City
- Source
- Official government page