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Official state forms

Missouri vital records forms

Applications issued by the Missouri vital records office, plus the forms of counties and cities that process requests locally. Every PDF is the current official version, checked against the source.

Last verified November 9, 2026

Statewide forms

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Missouri Death Certificate Application (Form MO 580-0641)Form MO 580-0641 · Form MO 580-0641 is the combined birth and death application to order a certified copy of a Missouri death certificate. It is filed with the Missouri Department of Health and Senior Services, Bureau of Vital Records.
Death
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Missouri Vital Records Application Forms | Free Official PDFs