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Missouri Adoptee Contact Preference Form (MO 580-3230 (VS-903))

Official state formAdoptionForm MO 580-3230 (VS-903)Free downloadLast verified November 10, 2026

Lets an adoptee state whether and how they wish to be contacted by a birth parent. The Bureau of Vital Records places it in a sealed file and releases it on request to the birth parent or to a lineal descendant of a deceased adoptee.

Who can use this form

  • The adoptee
  • The preference can be changed later by submitting a new form

What to send with it

  • The cover sheet and the form, signed before a notary public
  • The $15 non-refundable fee, by check or money order payable to Missouri Department of Health and Senior Services
  • No additional items, such as letters or photos, 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
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Missouri Adoptee Contact Preference Form (MO 580-3230 (VS-903)) | Missouri Form