Missouri Application for Non-Certified Copy of an Original Birth Certificate by Adoptee, Attorney or Birth Parent (MO 580-3139 (VS-902))
Official state formAdoptionForm MO 580-3139 (VS-902)Free downloadLast verified November 10, 2026
Request under the Missouri Adoptee Rights Act for a non-certified copy of an adoptee's original (pre-adoption) birth certificate. It goes to the Bureau of Vital Records by mail or in person in Jefferson City; it cannot be ordered online.
Who can use this form
- The adoptee
- The adoptee's attorney
- A birth parent whose name is listed on the certificate
What to send with it
- The notarized application
- The $15 non-refundable search fee, by check or money order payable to Missouri Department of Health and Senior Services
- The form prints the P.O. Box address; the office's order page says to submit to 930 Wildwood Drive, Jefferson City, MO 65109
Where to send it
- Mail to
- Bureau of Vital Records P.O. Box 570 Jefferson City, MO 65102-0570
- State fee
- $15 non-refundable search fee
- Typical processing
- The office's order page says to allow additional processing time; requests are handled first in, first out. No number of days is given.
- Form revision
- 8-18
- Source
- Official government page