Missouri DHSS - Vital Records Applications and Forms · Missouri state form

Application for a Vital Record – Marriage, Divorce, or Single Status (MO 580-2995)

Use this application to request a Missouri marriage, divorce, or single-status statement. Mail-in requests must be notarized and include identification-related documentation, fees, and a return envelope.

What this form is

This application is for requesting a Missouri marriage, divorce, or single-status statement from the Bureau of Vital Records. It asks for information about the person named on the record, the applicant, and the purpose of the request. All applications must be signed and include necessary fees and, if applicable, tangible-interest documentation. Mail-in requests must be notarized and include a self-addressed stamped return envelope.

Who needs it

A person or entity requesting a Missouri marriage, divorce, or single-status statement from the Bureau of Vital Records can use this application.

Why it needs a notary

Mail-in requests must be notarized, and the application includes a notary acknowledgment. You can have the signature notarized online with a commissioned online notary.

How to submit it

Mail the signed application, necessary fees and documents, and a self-addressed stamped return envelope to DHSS - Bureau of Vital Records, 930 Wildwood Dr., Jefferson City, MO 65109. Mail-in requests must be notarized.