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
- Source
- Official government page