Missouri Certificate of Live Birth for a Home Birth (MO 580-0697 (VS 100C))
Official state formOther requestsForm MO 580-0697 (VS 100C)Free downloadLast verified November 10, 2026
Paper Certificate of Live Birth used to register a home birth or other birth outside a hospital or institution (child 0 to 11 years) when it is not filed electronically. It is mailed to the Bureau of Vital Records.
Who can use this form
- Completed, in this order, by the physician in attendance
- If none, any other person in attendance
- If none, the father, the mother, or the person in charge of the premises where the birth occurred
- This order comes from the office's register page
What to send with it
- The completed certificate, typed or printed in permanent black ink, with no erasures, whiteouts or write-overs
- No faxed or reproduced copies
- It must be filed within five days after the date of birth, per the office's register page
- Supporting evidence for an out-of-institution birth, as described on the office's register page
Where to send it
- Mail to
- Bureau of Vital Records 930 Wildwood Drive Jefferson City, MO 65109
- State fee
- No fee to register a birth record by standard processes, per the office's fee page. This does not include a certified copy.
- Typical processing
- Not provided
- Form revision
- 10-2022
- Source
- Official government page