Missouri Birth Parent Contact Preference Form (MO 580-3140 (VS-903))
Official state formAdoptionForm MO 580-3140 (VS-903)Free downloadLast verified November 10, 2026
Lets a birth parent state a contact preference. The Bureau of Vital Records places it in a sealed file and releases it on request to the adoptee, the adoptee's attorney or a lineal descendant of a deceased adoptee. It may affect redaction of the original birth certificate.
Who can use this form
- A birth parent
- It is filed with the Bureau of Vital Records, not with a court
What to send with it
- The cover sheet and the form, signed before a notary public
- The $15 non-refundable fee
- No additional items are accepted
- 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 fee
- Typical processing
- Not provided
- Form revision
- 8-18
- Source
- Official government page