Missouri DHSS - Vital Records Applications and Forms · Missouri state form
Local Registrar Acceptance Form 580-0725
This form accepts an appointment as a local registrar and includes an oath to support the United States and Missouri Constitutions and perform the office’s duties.
- What this form is
- The Local Registrar Acceptance Form 580-0725 records acceptance of an appointment as a local registrar of vital statistics for a registration district. The appointee states an oath to support the United States and Missouri Constitutions, fulfill the duties of the position according to law, and observe Department of Health and Senior Services regulations. The form includes a signature and notary section.
- Who needs it
- A person appointed as a local registrar who must accept the appointment and take the oath stated on the form needs this document.
- Why it needs a notary
- The form must be signed and sworn before a notary. This can be done online with a commissioned online notary.
- How to submit it
- Submit it to the Missouri agency named on the form.
Questions
What is the Local Registrar Acceptance Form used for?
It records acceptance of an appointment as a local registrar of vital statistics and includes an oath to perform the office’s duties.
Who needs to complete this form?
A person appointed as a local registrar completes the form to accept the appointment and state the oath printed on it.
Does this form need to be notarized?
Yes. The form includes an oath and a section to be subscribed and sworn before a notary. Online notarization is available with a commissioned online notary.