19 CSR 10-10.010 Birth

Rules of Department of Health and Senior Services Division 10—Office of the Director Chapter 10—Vital Records

Title Page

19 CSR 10-10.010 Birth ...... 3 19 CSR 10-10.020 Vital Records ...... 3 19 CSR 10-10.030 Filing a Delayed Birth Certificate ...... 3 19 CSR 10-10.040 Filing a Certificate of Live Birth ...... 8 19 CSR 10-10.050 Death Certificate Form ...... 8 19 CSR 10-10.060 Report of Fetal Death ...... 8 19 CSR 10-10.070 Certificate of Dissolution of Marriage ...... 9 19 CSR 10-10.080 Report of Marriage ...... 9 19 CSR 10-10.090 Access to Vital Records ...... 9 19 CSR 10-10.100 Authorization for Cremation ...... 10 19 CSR 10-10.110 Amending Vital Records ...... 11 19 CSR 10-10.120 New Certificate Through Legitimation...... 15 19 CSR 10-10.130 Missouri Adoptee Rights...... 15

JOHN R. ASHCROFT (2/28/19) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 10—Vital Records 19 CSR 10-10

Title 19—DEPARTMENT OF (2) Confidentiality. The state registrar and (2) The following is the procedure for filing a HEALTH AND SENIOR SERVICES those local registrars identified in section (1) delayed birth certificate for a person who has Division 10—Office of the Director of this rule shall request the signature and the passed his/her twelfth birthday: The attached Chapter 10—Vital Records reason for the record of each applicant for a four (4)-page form entitled Application to birth certificate when information identifying Record a Birth After Twelfth Birthday shall 19 CSR 10-10.010 Birth parentage is desired, whether for certified be used in accordance with the instructions copies or for inspection of the record. If the contained in the form. PURPOSE: This rule concerns recording of applicant is a minor, the signature of a parent births for babies born in wedlock and out of or legal guardian shall be substituted. An AUTHORITY: section 193.035, RSMo Supp. wedlock. exception to this rule shall be made when a 1998.* This rule was previously filed as 13 governmental agency is obtaining information CSR 50-150.030 and 19 CSR 30-10.020. (1) If the mother was married either at the for protection of the public interest. The sig- Original rule filed Sept. 6, 1955, effective time of conception or birth, the name of the nature and title of the agent shall be consid- Sept. 16, 1955. Changed to 19 CSR 10- husband shall be entered on the certificate as ered sufficient. 10.010 July 30, 1998. Amended: Filed March the father of the child unless paternity has 12, 1999, effective Sept. 30, 1999. been determined otherwise by a court of (3) Responsibility of Applicant. The burden competent jurisdiction, in which case the of proper and adequate identification of a *Original authority: 193.035, RSMo 1984, amended name of the father, as determined by the record in the files of the Bureau of Vital 1993, 1995. court, shall be entered. Records shall rest upon the applicant for the record. In contested cases, the burden of (2) If the mother was not married either at the proof, that requests for an inspection of a time of conception or birth, the name of the record or a certified copy of a record lies father shall not be entered on the certificate within the meaning of the Uniform Vital of birth without the written consent of the Statistics Act, shall rest upon the applicant mother and the person to be named as the for the record. The state registrar or those father unless a determination of paternity has identified in section (1) of this rule at all been made by a court of competent jurisdic- times may request additional information to tion, in which case the name of the father, as support the demand of an applicant whose determined by the court, shall be entered. request for a copy or an inspection appears not to be in accordance with the law. AUTHORITY: section 193.035, RSMo Supp. 1998.* This rule was previously filed as 13 AUTHORITY: section 193.035, RSMo Supp. CSR 50-150.010 and 19 CSR 30-10.010. 1998.* This rule was previously filed as 13 Original rule filed July 16, 1965, effective CSR 50-150.020 and 19 CSR 30-10.020. July 26, 1965. Changed to 19 CSR 10-10.010 Original rule filed March 6, 1951, effective July 30, 1998. Amended: Filed March 12, March 16, 1951. Changed to 19 CSR 10- 1999, effective Sept. 30, 1999. 10.020 July 30, 1998. Amended: Filed March 12, 1999, effective Sept. 30, 1999. *Original authority: 193.035, RSMo 1984, amended 1993, 1995. *Original authority: 193.035, RSMo 1984, amended 1993, 1995.

19 CSR 10-10.020 Vital Records

PURPOSE: This rule authorizes local regis- 19 CSR 10-10.030 Filing a Delayed Birth trars of St. Louis, Kansas City and St. Louis Certificate County to certify and issue copies of birth, death and fetal death records of events occur- PURPOSE: This rule sets up a procedure for ring within their jurisdictions. filing delayed birth certificates.

(1) Who May Certify. The local registrars for (1) The following is the procedure for filing a St. Louis City, Kansas City and St. Louis delayed birth certificate for a child before County may certify copies of the duplicate s/he reaches his/her twelfth birthday: birth, death and stillbirth certificates held by (A) The child must be born in Missouri; them. Permission to certify grants validity (B) There must be no prior certificate on and legality to the certified copy only as far file in the Bureau of Vital Records which can as the local ordinances permit and then only reasonably be presumed to belong to the when not in conflict with the laws of this child; and state. No local registrar, other than those (C) The registration shall be on current described in this section, may certify in any certificates of live birth. The basic procedure manner, except to the state registrar to a shall be as nearly as practicable the same as record that s/he holds. for filing a current live birth certificate.

MATT BLUNT (2/28/03) CODE OF STATE REGULATIONS 3 Secretary of State 19 CSR 10-10—DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 10—Office of the Director

4 CODE OF STATE REGULATIONS (2/28/03) MATT BLUNT Secretary of State Chapter 10—Vital Records 19 CSR 10-10

MATT BLUNT (2/28/03) CODE OF STATE REGULATIONS 5 Secretary of State 19 CSR 10-10—DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 10—Office of the Director

6 CODE OF STATE REGULATIONS (2/28/03) MATT BLUNT Secretary of State Chapter 10—Vital Records 19 CSR 10-10

MATT BLUNT (2/28/03) CODE OF STATE REGULATIONS 7 Secretary of State 19 CSR 10-10—DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 10—Office of the Director

19 CSR 10-10.040 Filing a Certificate of complications of labor, delivery, or both; was female 10–49, was she pregnant in the Live Birth method of delivery; abnormal conditions of last 90 days—yes, no or unknown; was autop- the newborn; and congenital anomalies of sy performed—yes or no; were autopsy find- PURPOSE: This rule prescribes a time for child. ings available prior to completion of cause of the recording of births and clarifies the pro- death—yes or no; manner of death; date of cedure, including births not attended by a (4) A live birth certificate shall be filed for injury; time of injury; injury at work—yes, licensed physician or midwife. any child showing any evidence of life such no or unknown; describe how injury as breathing, action of heart or movement of occurred; check whether certifying physician (1) Any physician, midwife or other legally voluntary muscles, after the child is entirely or medical examiner/coroner; signature and authorized person in attendance at a birth outside of the mother, even if the cord is title of certifier; date signed; time of death; must file a birth certificate within seven (7) uncut and the placenta is still attached. name and address of certifier, Missouri days after the date of birth. license number; case referred to medical AUTHORITY: section 193.085, RSMo 1986.* examiner/coroner—yes or no; name of (2) If the birth was not attended, one (1) of This rule was previously filed as 13 CSR 50- attending physician if other than certifier; the parents must file a birth certificate within 150.040 and 19 CSR 30-10.040. Original registrar’s signature; and date received by seven (7) days after the date of birth. rule filed March 13, 1958, effective March local registrar. 23, 1958. Amended: Filed Nov. 4, 1977, (3) The birth certificate shall include the fol- effective Feb. 11, 1978. Rescinded and read- AUTHORITY: section 193.145, RSMo 2000.* lowing items: registration district number; opted: Filed Sept. 12, 1988, effective Jan. 1, This rule was previously filed as 13 CSR 50- registrar’s number; child’s name, date of 1989. Changed to 19 CSR 10-10.040 July 30, 150.050 and 19 CSR 30-10.050. Original birth, time of birth, sex; city, town or loca- 1998. rule filed Nov. 4, 1977, effective Feb. 11, tion of birth; county of birth; place of birth; 1978. Rescinded and readopted: Filed Sept. if residence (home) birth, was it planned that *Original authority: 193.085, RSMo 1984, amended 12, 1988, effective Jan. 1, 1989. Changed to way; facility name; certifier signature, date 1997. 19 CSR 10-10.050 July 30, 1998. Amended: signed, certifier’s name and title; attendant’s Filed Oct. 2, 2002, effective March 30, 2003. name and title, attendant’s Missouri license 19 CSR 10-10.050 Death Certificate Form number, attendant’s mailing address; regis- *Original authority: 193.145, RSMo 1984, amended 1989, 1997. trar’s signature, date signed by registrar; PURPOSE: This rule establishes the content mother’s name, maiden surname, date of of the death certificate for each death in this birth, birthplace, residence—state, county, state to be filed with the Department of 19 CSR 10-10.060 Report of Fetal Death city, town or location, street and number; Health. inside city limits—yes or no; years living at PURPOSE: This rule establishes the content present address; mother’s mailing address; (1) The death certificate shall include the fol- of the report of fetal death to be filed with the father’s name, date of birth; birthplace; sig- lowing items: registration district number; Department of Health for each fetal death in nature of parent or other informant, relation registrar’s number; decedent’s name, sex, this state. to child; permission given to provide Social date of death, Social Security number, age Security Administrative (SSA) with the neces- (under 1 year—months and days—under 1 (1) The report of fetal death shall include the sary birth information to issue Social Security day—hours, minutes), date of birth, birth- following items: registration district number; number—yes or no; mother of Hispanic ori- place, was decedent ever in United States registrar’s number; fetus name; city, town or gin—no or yes—specify; father of Hispanic armed forces—yes, no or unknown; place of location of delivery; county of delivery; date origin—no or yes—specify; race of mother; death—hospital (specify inpatient, emergency of delivery; sex of fetus; place of delivery; if race of father; education—mother; educa- room (ER)/outpatient or dead on arrival residence (home) delivery, was it planned that tion—father; mother participated during (DOA)) or other (specify nursing home, resi- way—yes or no; facility name; mother’s pregnancy (check all that apply); live births dence or other); facility name; city, town or name, maiden surname, date of birth, resi- now living; live births now dead; date of last location of death; county of death; marital dence (state, county, city, town or location), live birth; other terminations; date of last ter- status; surviving spouse’s name; decedent’s zip code, street and number, inside city lim- mination; mother married to father—yes or usual occupation; kind of business or indus- its—yes or no, years living at present no; date last normal menses began; month try; residence—state, county, city town or address; father’s name, date of birth; imme- pregnancy prenatal care began; number of location—zip code, street and number, inside diate and underlying cause of death and spec- prenatal visits; birth weight; crown heel city limits, years at present address; was ify if cause is fetal or maternal; other signif- length; clinical estimate of gestation; plurali- decedent of Hispanic origin—no or yes— icant conditions; fetus died before labor, dur- ty; if not single birth—specify; other risk fac- specify; race; decedent’s education; father’s ing labor or delivery or unknown (specify); tors for this pregnancy—tobacco use during name, mother’s name; informant’s name, attendant’s name and title, Missouri license pregnancy, alcohol use during pregnancy; mailing address; burial, cremation or other number; name and title of person completing mother’s height; mother’s weight before (specify); date of disposition; place of dispo- report; burial, cremation, other (specify); pregnancy; weight gained during pregnancy; sition; location; signature of funeral service cemetery or crematory, location (city or apgar score; mother transferred from another licensee or person acting as such; name and town, state); date; name and address of facil- facility or physician’s office prior to deliv- address of facility; funeral establishment ity; informant; registrar’s signature; date ery—yes or no; infant transferred—yes or no; license number; immediate cause and under- received by local registrar; mother of mother’s blood tested for syphilis; prophylac- lying causes of death and approximate inter- Hispanic origin—no or yes; father of Hispanic tic drug used in baby’s eyes; medical risk fac- val between onset and death; other significant origin—no or yes; mother’s race; father’s tors for this pregnancy; obstetric procedures; conditions contributing to death; if deceased race; mother’s education; father’s education;

8 CODE OF STATE REGULATIONS (2/28/03) MATT BLUNT Secretary of State Chapter 10—Vital Records 19 CSR 10-10

mother participated during pregnancy (check was awarded to (check appropriate box); *Original authority: 193.185, RSMo 1984. all that apply); live births—now living; live county of decree; title of court; signature of births—now dead; date of last live birth; certifying official; title of certifying official; other terminations, date of last other termina- number of this marriage—husband; number 19 CSR 10-10.090 Access to Vital Records tion; was mother married to father—yes or of this marriage—wife; husband—if previous- no; date last normal menses began (month, ly married, last marriage ended by (check PURPOSE: This rule protects the integrity of day, year); month pregnancy prenatal care box) and date; wife—if previously married, vital records and the personal privacy of the began (specify); prenatal visits (total num- last marriage ended by (check box) and date; registrants and determines who is entitled to ber); birth weight; crown heel length; clinical husband’s race; wife’s race; husband’s edu- receive copies or information from vital estimate of gestation (weeks); plurality (spec- cation; wife’s education. records. ify); if not single birth—born first, second, third, etc. (specify); mother transferred from AUTHORITY: section 193.205, RSMo 1986.* (1) The state registrar of vital records or the another facility or physician’s office prior to This rule was previously filed as 19 CSR 30- custodian of permanent local vital records delivery—yes or no and if yes enter name of 10.070. Original rule filed Sept. 12, 1988, shall not permit anyone to disclose informa- facility; medical risk factors for this pregnan- effective Jan. 1, 1989. Changed to 19 CSR tion contained in vital records, or to copy or cy (check all that apply); other risk factors 10-10.070 July 30, 1998. issue a copy of all or part of any vital records for this pregnancy (complete all items); except as authorized in this rule. obstetric procedures (check all that apply); *Original authority: 193.205, RSMo 1984, amended (A) As authorized by section 193.255.1, complications of labor or delivery or both 1996. RSMo 1986, the registrant, a member of (check all that apply); method of delivery his/her immediate family, his/her guardian or one (1) of their respective official representa- (check all that apply); congenital anomalies 19 CSR 10-10.080 Report of Marriage of child (check all that apply). tives shall be considered to have a direct and tangible interest and may be issued a certified PURPOSE: This rule establishes the content AUTHORITY: section 193.165, RSMo 1986.* copy of a vital record. Others may demon- of the report of marriage for each marriage This rule was previously filed as 13 CSR 50- strate a direct and tangible interest when performed in this state to be filed with the 150.060 and 19 CSR 30-10.060. Original information is needed for determination or Department of Health. rule filed Nov. 4, 1977, effective Feb. 11, protection of personal or property rights. 1978. Rescinded and readopted: Filed Sept. (1) The report of marriage shall include the 1. Applicants requesting records shall 12, 1988, effective Jan. 1, 1989. Changed to following items: license number; groom’s furnish adequate identifying information con- 19 CSR 10-10.060 July 30, 1998. name, age last birthday, date of birth, birth- tained on the record to insure the correct place, residence (city, town or location), record is being released. *Original authority: 193.165, RSMo 1984. state, zip code, county, number of this mar- 2. The term immediate family shall riage if previously married, last marriage include those family members and in-laws in the direct line of descent up to, but not 19 CSR 10-10.070 Certificate of ended by (check appropriate box), date including, cousins. Immediate family mem- Dissolution of Marriage ended, race, education; bride’s name, maiden surname, age last birthday, date of birth, bers are eligible to receive copies of birth cer- birthplace, residence (city, town or location), tificates. PURPOSE: This rule establishes the content state, zip code, county, number of this mar- of the certificate of dissolution of marriage 3. All family members, genealogists riage if previously married, last marriage for dissolutions granted by any court in this representing a family member and profes- ended by (check appropriate box) and date state to be filed with the Department of sionally recognized genealogists are eligible ended, race, education; groom’s signature; Health. to receive copies of death certificates. bride’s signature; month, day, year and time 4. The term official representative shall subscribed to and sworn to; county of record- (1) The certificate of dissolution of marriage include an attorney, physician, funeral direc- ing; date and time license issued; name of tor or other authorized agent acting in behalf shall include the following items: case num- recorder of deeds; signature and title of offi- ber; husband’s name, residence (city, town or of the registrant or his/her family. An other cial; date ceremony performed; where mar- authorized agent shall produce a signed state- location), state, zip code, county, date of ried—city, town or location; where married— ment by the registrant or a member of his/her birth, birthplace; wife’s name, maiden sur- county; name of parent or legal guardian of family authorizing the release of a record. A name, residence (city, town or location), groom (if minor), relationship to applicant, state, zip code, county, date of birth, birth- address of parent or legal guardian of groom, funeral director may act as the official repre- place, place of marriage (city, town or loca- state, zip code, signature of parent or legal sentative of a family to obtain copies of death tion), county, state or foreign country; date of guardian; name of parent or legal guardian of certificates only. this marriage; date couple last resided in bride (if minor), relationship to applicant, 5. A guardian may receive a copy of the same household; number of children under address of parent or legal guardian of bride, birth certificate of a child who is under eighteen (18) in this household as of the date state, zip code, signature of parent or legal his/her care and custody by showing the couple last resided in same household; guardian; month, day and year subscribed to guardianship papers. petitioner (check appropriate box); name of and sworn to; signature and title of official. 6. Foster parents may receive a copy of petitioner’s attorney; address of attorney; a birth certificate of a child who is under date of dissolution (month, day, year); type of AUTHORITY: section 193.185, RSMo 1986.* their care and custody upon furnishing a copy decree (check appropriate box); date record- This rule was previously filed as 19 CSR 30- of their custody papers. ed; number of children under eighteen (18) 10.070. Original rule filed Sept. 12, 1988, 7. A stepparent may receive a copy of a whose physical custody was awarded to (des- effective Jan. 1, 1989. Changed to 19 CSR certificate of a legitimate birth by stating rela- ignate in appropriate spaces); child support 10-10.080 July 30, 1998. tionship.

MATT BLUNT (2/28/03) CODE OF STATE REGULATIONS 9 Secretary of State 19 CSR 10-10—DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 10—Office of the Director

8. An alleged father of a child may not (D) As authorized by section 193.255.4, heir-tracing companies do not require a fee. receive a copy of that child’s birth records RSMo 1986, the state registrar or the local Copies of death records shall be made by unless he is shown as the father on that custodian may furnish—when deemed in the vital records staff upon request of reporters record. public interest and not for purposes of com- or heir-tracing representatives. Copy fees as 9. Whenever it shall be deemed neces- mercial solicitation or private gain—copies of required by law will be levied. Cause of death sary to establish an applicant’s right to infor- records or data from records to public agen- information shall be released to the news mation from a vital record, the state registrar cies administering health, welfare, safety, law media or heir-tracing companies only if the or local custodian also may require identifi- enforcement, education or public assistance information is needed for their research and cation of the applicant or a notarized sworn programs, and to private agencies approved not for personal information. statement. by the state registrar. Subject to the limita- (F) A listing of persons who are born or (B) As authorized by section 193.245(3), tions of this rule, confidential verification of who die on a particular date may be disclosed RSMo (1986), the state registrar of vital the facts contained in a vital record may be upon request, but no information from the records may authorize the disclosure of infor- furnished by the state registrar of vital record other than the name and the date of the mation contained in vital records for legiti- records or the custodian of permanent local birth or death shall be disclosed. A fee may mate research purposes. vital records to any federal, state, county or be charged to recapture the expense of gener- 1. The term legitimate means conform- municipal government agency. These confi- ating these listings. ing to or in accordance with generally accept- dential verifications shall be on forms pre- (G) When the state registrar of vital ed standards or principles governing scribed and furnished by the state or local records or the custodian of permanent local research. registrar of vital records or on forms fur- vital records finds evidence that a certificate 2. The term research means a systemat- nished by the requesting agency and accept- was registered or application or request was ic study designed to develop or contribute to able to the state or local registrar; or the state made through misrepresentation or fraud, generalizable knowledge. The term generaliz- registrar or the custodian of permanent local s/he shall have authority to withhold the able means to emphasize the general charac- vital records may authorize the verification in issuance of a copy of the certificate until a ter rather than specific details of, to formu- other ways when it shall prove in the best court determination of the facts has been late general principles or inferences from interests of the office of the state or local reg- made. particulars. istrar. (H) Nothing in this rule shall be construed (E) Representatives of heir-tracing compa- 3. No data shall be furnished from as authorization to permit access to or inspec- nies establishing personal or property rights records for research purposes until the state tion of the vital records or indexes in the vital and reporters for newspapers, radio, televi- registrar of vital records has received and records offices by any person other than the sion or other news media when investigating approved a formal request for the research state or local custodian or his/her employees news stories are allowed access to vital project. The request shall be approved only if unless otherwise authorized in this rule. records subject to restrictions outlined in sec- adequate assurances are provided to assure tion 193.245, RSMo 1986. These representa- that the research is legitimate and to protect AUTHORITY: sections 192.067, 193.145, tives and reporters shall provide proper iden- the confidentiality of the records request- 193.255.1, 193.255.4 and 610.021(5), RSMo tification and state in writing the proposed ed.These assurances include, but are not lim- Supp. 1989 and 193.155, RSMo 1986.* This use of the requested record. rule was previously filed as 13 CSR 30- ited to: 1. To protect the integrity of the birth 10.090. Original rule filed Nov. 14. 1988, A. Security measures shall limit records and to enforce the provisions of sec- effective Jan. 27, 1989. Amended: Filed June access to the records to members of the tions 193.125 and 193.245(1), RSMo 1986, 14, 1989, effective Sept. 11, 1989. Amended: research staff; nothing in this rule shall be construed as Filed June 4, 1990, effective Dec. 31, 1990. B. Any release of records to other authorization to permit reporters physical Changed to 19 CSR 10-10.090 July 30, 1998. agencies shall be only with prior approval inspection of the original or permanent birth from the state registrar; certificates or the birth indexes of the state or C. Individuals shall not be identified *Original authority: 192.067, RSMo 1988; 193.145, local registrar. Access shall be limited to RSMo 1984, amended 1989; 193.255, RSMo 1984; in published data; searches conducted and copies made by the 193.155, RSMo 1984 and 610.021, RSMo 1987. D. Upon completion of a study, the vital records staff. A fee as authorized by law records shall be destroyed or adequate securi- shall be levied. ty provided to prevent access or disclosure; 2. To protect the integrity of the death 19 CSR 10-10.100 Authorization for and records, physical inspection of the original or Cremation E. A registrant or his/her family permanent death certificates are prohibited. members or acquaintances shall not be con- Access to death indexes shall be permitted PURPOSE: This rule establishes procedures tacted without written permission from the under supervised conditions during normal required prior to cremation of a dead human state registrar. working hours on regular work days. body. (C) To comply with sections 192.067 and Authorization for physical access and inspec- 610.021(14), RSMo Cum. Supp. 1989, noth- tion of death record indexes shall be approved (1) If the cause of death can be established ing in this rule shall be construed to permit by the vital records office in advance to insure within seventy-two (72) hours after death, a disclosure of information contained in the availability of proper supervision and mini- completed death certificate certifying the confidential Information for Medical and mization of office disruption. The state or cause of death as determined by the medical Health Use Only section of a vital record local registrar shall determine work area loca- examiner/coroner or physician shall be deliv- unless specifically authorized by the state tion and quantity of indexes made available at ered or mailed to the local registrar of the registrar of vital records or by a court of com- any one (1) time. Searches of death indexes county where the death occurred before a petent jurisdiction. conducted by reporters and representatives of body is cremated.

10 CODE OF STATE REGULATIONS (2/28/03) MATT BLUNT Secretary of State Chapter 10—Vital Records 19 CSR 10-10

(2) If a completed death certificate cannot be rized affidavit. Documentary evidence which which results in a different pronunciation of filed because the cause of death has not been supports the alleged facts shall be a filed doc- the surname; determined, the medical examiner/coroner or ument which shows, as a minimum, the cor- 8. Change, on the death record, the sur- physician certifying the cause of death shall rect full name and correct age or date of name of the deceased by changing three (3) or give the funeral director notice of the reason birth, and shall have been filed at least five more letters or by changing one (1) or two (2) for the delay. A body shall not be cremated (5) years prior to the date of application for letters which results in a different pronuncia- until written authorization by the medical the amendment. A filed document is defined tion of the surname; examiner/coroner or physician is received by as a record which is permanently maintained 9. Change both the sex and registrant’s the funeral director. This authorization shall by an agency, organization or business and is name when the name appears to be that typi- be a signed statement which identifies the accessible for verification at a later date. cally used for the opposite sex; deceased and authorizes final disposition by (B) The burden of submitting proof is on 10. Amend a written signature (amend- cremation. the applicant. The state registrar shall deter- ed signature will be typed); or mine whether the document submitted satis- 11. Delete father’s name on a legitimate (3) Management of a crematory shall require factorily supports the correction requested. birth record. To delete the father’s name from from an authorized funeral home representa- When the applicant cannot submit proper a birth certificate, the court order shall find tive presenting a body for cremation a signed documentation, the applicant shall be notified that he is not the natural father and then statement which identifies the deceased and of the deficiencies and given appeal rights to direct the Bureau of Vital Records to delete which states that— a court of competent jurisdiction. his name from the birth record. If the court (A) A completed death certificate has been also finds the natural father and the mother filed with the local registrar where the death (2) Major deficiencies on individual vital have been legally married, the birth certifi- occurred; or records shall be corrected by court order. The cate can be legitimated by the same court (B) The funeral director has received a Bureau of Vital Records shall be furnished order. The order shall give the date and place written authorization to cremate the body with a certified copy of an order from a court of marriage. The order also shall give the nat- from the medical examiner/coroner or physi- of competent jurisdiction directing them to ural father’s full name, date of birth, state of cian who will be certifying the cause of make the desired correction. The order shall birth, race, Social Security number, and the death. identify the record(s) as presently filed and natural mother’s date of birth and Social direct the bureau as to the items to be cor- Security number to establish a new birth cer- AUTHORITY: sections 193.145 and 193.175, tificate by legitimation. If the child’s name is RSMo 1986.* This rule was previously filed rected, amended or changed. (A) Major deficiencies specifically requir- to be changed to the father’s name, the order as 19 CSR 30-10.100. Original rule filed July also shall indicate the name change. 15, 1991, effective Jan. 13, 1992. Changed ing a court order are those that— 1. Amend year of birth on a birth to 19 CSR 10-10.100 July 30, 1998. (3) The original certificate/office working record; copy of the birth, death or fetal death shall 2. Amend a previously amended birth *Original authority: 193.145, RSMo 1984, amended 1989 have the correction entered on its face by and 193.175, RSMo 1984. record corrected by court order, adoption or interlineation with a line drawn through the legitimation; incorrect entries. It shall be marked amend- 3. Amend an item previously amended ed. The date of amendment and a summary 19 CSR 10-10.110 Amending Vital Records by affidavit; description of the evidence submitted in sup- 4. Amend the date of birth on a birth PURPOSE: This rule identifies when an affi- port of the amendment shall be endorsed on record when adequate documentation before davit is appropriate to amend a vital record or made part of the record. the eleventh birthday is not available; and when a court order is required. 5. Completely change the mother’s (4) Depending on the item(s) to be amended, (1) A request for correction(s) of a certificate name on a birth record. The mother’s first, those qualified to make application to change shall be made to the Bureau of Vital Records. middle and maiden name can be corrected by a record are the informant, midwife, physi- The request shall identify the certificate to be a notarized affidavit from the hospital’s med- cian, coroner, medical examiner and person- corrected by stating whether it is a birth, ical records department if the hospital pre- nel from institutions, clinics and funeral death or fetal death record; the name of the pared the original record in error. If the error homes who were responsible for filing the registered person; the date and place of the was not made by the hospital, then one (1) of certificate. event; which items are omitted or in error; the recorded parents or the registrant, if of (A) To amend a death certificate by affi- and the correct information for the items. The legal age, shall furnish a notarized affidavit davit, application may be made by the infor- Bureau of Vital Records shall send a correc- requesting correction and a certified copy of mant or the funeral director or person acting tion form to the applicant with instructions the mother’s birth record or a certified copy for the funeral director on the following regarding who should sign and what docu- of the parent’s marriage license or a certified items: decedent’s first name, decedent’s mid- mentary proof is required to support the cor- statement of marriage from the recorder of dle name, decedent’s sex, decedent’s date of rection requested. deeds’ office; death (affidavit of funeral home representa- (A) To correct an item(s) on a certificate, 6. Completely change, on the birth tive or certifier only), decedent’s Social documentary evidence necessary to preserve record, the name of the natural parent or add Security number, decedent’s age, decedent’s the integrity of the certificate shall be the name of a parent when deceased; month of birth, decedent’s day of birth, was required. Depending on the number of items 7. Change, on the birth record, the sur- decedent ever in United States armed forces?, to be corrected, more than one (1) document name of the registrant or the surname of the place of death, marital status, surviving may be required. Corrections, other than father by changing three (3) or more letters, spouse’s name (see paragraph (2)(A)8. of this those that are court ordered, require a nota- or by changing one (1) or two (2) letters rule), decedent’s usual occupation and kind

MATT BLUNT (2/28/03) CODE OF STATE REGULATIONS 11 Secretary of State 19 CSR 10-10—DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 10—Office of the Director

of business or industry, decedent’s residence, decedent’s origin and race, decedent’s education, father’s first name, father’s middle name, mother’s first name, mother’s middle name. Informant’s name, informant’s mailing address, disposition information, name and address of funeral home and funeral establishment license number can be amended only by affidavit of funeral home representative. The medical information can be amended only by the medical certifier, coroner or medical examiner who certified the cause of death. 1. An affidavit is required to correct the spelling of a last name(s) except as provided in paragraph (2)(A)8. of this rule. Age, date of birth and surnames of mother, father and surviving spouse require one (1) document other than an insurance policy which gives the correct information. An affidavit is required to correct the age if the year is correct. 2. To correct all other items on a death certificate through the amendment process, documentary evidence considered necessary to preserve the integrity of the certificate shall be required. (B) To amend a fetal death certificate, application may be made by informant, coroner, medical examiner or personnel from the hospital, clinic or funeral home who prepared the certificate. 1. Except for medical information, the amendment process is the same as for a birth or death certificate. 2. The medical information can be changed only by the medical certifier, coroner, medical examiner or personnel of the institution responsible for filing the certificate. Cause of death information can be amended only by the medical certifier, coroner or medical examiner. 3. To correct all other items on a fetal death certificate, documentary evidence considered necessary to preserve the integrity of the certificate shall be required. (C) To amend a birth certificate, application may be made by one (1) of the parents, the legal guardian, the registrant, if of legal age, or the individual responsible for the filing of the certificate. An affidavit and any required supporting document shall be filed according to the requirements of the following chart:

12 CODE OF STATE REGULATIONS (2/28/03) MATT BLUNT Secretary of State Chapter 10—Vital Records 19 CSR 10-10

MATT BLUNT (2/28/03) CODE OF STATE REGULATIONS 13 Secretary of State 19 CSR 10-10—DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 10—Office of the Director

14 CODE OF STATE REGULATIONS (2/28/03) MATT BLUNT Secretary of State Chapter 10—Vital Records 19 CSR 10-10

AUTHORITY: section 193.215, RSMo 1986.* 19 CSR 10-10.130 Missouri Adoptee Rights (J) “Intermediary,” the person or agency This rule was previously filed as 19 CSR 30- identified by the birth parent or adoptee to act 10.110. Original rule filed Jan. 24, 1992, PURPOSE: This rule provides the process for as a means of contact between the birth par- effective June 25, 1992. Changed to 19 CSR an adoptee, an adoptee’s attorney, and the ent and adoptee; 10-10.110 July 30, 1998. birth parents of an adoptee to receive a copy (K) “Lineal descendant,” a person who is of the adoptee’s original birth certificate, the in direct line to an ancestor, such as child, *Original authority: 193.215, RSMo 1984. process for a birth parent and the adoptee to grandchild, great-grandchild, and so on, state his or her contact preference regarding either by blood or legal adoption. This does whether and how the adoptee/birth parent not include a step-child or collateral descen- 19 CSR 10-10.120 New Certificate can contact him or her, the process for com- dant. Collateral descendants are those from Through Legitimation pletion of a medical history form by a birth the line of a brother, sister, aunt, or uncle; parent, and the process for lineal descen- (L) “Original birth certificate,” the PURPOSE: This rule defines the documenta- dants of a deceased adoptee to receive a copy adoptee’s registered birth certificate sealed tion required to legitimate a birth record. of the adoptee’s original birth certificate. upon court order at the time of adoption; (M) “Redact,” to obscure or remove iden- (1) If the mother marries the natural father PUBLISHER’S NOTE: The secretary of state tifying information. after the birth of their child, a new birth cer- has determined that the publication of the tificate can be created by the mother furnish- entire text of the material which is incorpo- (2) Birth Parent Contact Preference Form. A ing certified copies of her marriage license or rated by reference as a portion of this rule birth parent may state his or her preference for marriage certification to the natural father. If would be unduly cumbersome or expensive. contact with the adoptee by completing a the mother previously was married, certified This material as incorporated by reference in Cover Sheet for Birth Parent Contact copies of other marriage licenses or marriage this rule shall be maintained by the agency at Preference Form and a Birth Parent Contact certification also shall be furnished. its headquarters and shall be made available Preference Form as published August 2018 Notarized affidavits shall be signed by the to the public for inspection and copying at no which are incorporated by reference in this mother and father. more than the actual cost of reproduction. rule and may be obtained at (A) If the father is deceased, a notarized This note applies only to the reference mate- www.health.mo.gov or by calling (573) 751- affidavit is required from one (1) of the rial. The entire text of the rule is printed 6387. This rule does not incorporate any sub- alleged father’s parents or his brother or sis- here. sequent amendments or additions. Completed ter stating that s/he believes him to be the forms may be delivered in person to the father of the child based on an oral or written (1) For purposes of this rule only, unless the department at 930 Wildwood Drive, Jefferson statement of the man. A certified copy of the context clearly indicates otherwise, the fol- City, Missouri, or by mail to the Department father’s death certificate also is required. lowing terms mean: of Health and Senior Services, PO Box 570, (B) If the mother is deceased, an affidavit (A) “Adoptee,” an adopted person who Jefferson City, MO 65102. is required from one (1) of the mother’s par- was born in Missouri and is at least eighteen (A) A birth parent shall provide to the ents or her brother or sister stating that s/he (18) years of age; department adequate information as requested believes the man to be the father of the child (B) “Adoptee Contact Preference Form,” a on the Cover Sheet for Birth Parent Contact based on an oral or written statement of the form used by an adoptee to indicate his or her Preference Form so that the department can man. A certified copy of the mother’s death preference about contact with the birth par- identify the correct sealed file in which to certificate also is required. ent(s); place the form. A birth parent shall also pay a (C) “Applicant,” the person completing non-refundable fee for processing the form (2) A court-ordered legitimation shall be application for a form or certificate as speci- and searching for the original birth record in obtained when the requirements of section (1) fied in this rule and may be the adoptee, an amount equal to the fee for a certified copy of this rule cannot be met. The court shall adoptee’s attorney, birth parent, or lineal of a birth certificate. If the department is find that the natural parents are or were legal- descendant of a deceased adoptee; unable to identify the correct sealed file based ly married and state the date and place of (D) “Attorney,” a currently-licensed mem- upon the information provided by the birth marriage. The order also shall give the natu- ber of the Missouri Bar or bar of another state parent on the Cover Sheet for Birth Parent ral father’s full name, date of birth, state of of the United States; Contact Preference Form, the department birth, race and Social Security number, and (E) “Birth parent,” the parent(s) identified shall return the Cover Sheet for Birth Parent the natural mother’s date of birth and Social on the adoptee’s original birth certificate; Contact Preference Form and the Birth Parent Security number in order to establish a new (F) “Birth Parent Contact Preference Contact Preference Form to the birth parent. birth certificate by legitimation. If the child’s Form,” a form used by a birth parent to indi- (B) A birth parent may change his or her surname is to be changed to the father’s sur- cate his or her preference about contact with contact preference by completing a new Cover name, the order also shall indicate this the adoptee; Sheet for Birth Parent Contact Preference change. (G) “Birth Parent Medical History Form,” Form and Birth Parent Contact Preference a form used by a birth parent to provide his Form. A birth parent shall also pay a non- AUTHORITY: section 193.135, RSMo 1986.* or her medical history information to the refundable fee for processing the form and This rule was previously filed as 19 CSR 30- adoptee; searching for the original birth record in an 10.120. Original rule filed Jan. 24, 1992, (H) “Department,” the Missouri amount equal to the fee for a certified copy of effective June 25, 1992. Changed to 19 CSR Department of Health and Senior Services; a birth certificate. The forms and fee shall be 10-10.120 July 30, 1998. (I) “Identifying information,” the name, mailed or delivered to the department at the date of birth, place of birth, and last known address listed in section (2) above. If the *Original authority: 193.135, RSMo 1984. address of the biological parent; department is unable to identify the correct

JOHN R. ASHCROFT (2/28/19) CODE OF STATE REGULATIONS 15 Secretary of State 19 CSR 10-10—DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 10—Office of the Director

sealed file based upon the information provid- the other parent has not filed a Birth Parent correct sealed file based upon the information ed by the birth parent on the Cover Sheet for Contact Preference Form; provided on the Cover Sheet for Birth Parent Birth Parent Contact Preference Form, the 4. The original birth certificate only lists Medical History Form, the department shall department shall return the Cover Sheet for one (1) parent and that parent has filed a return the Cover Sheet for Birth Parent Birth Parent Contact Preference Form and the Birth Parent Contact Preference Form indi- Medical History Form and the Birth Parent Birth Parent Contact Preference Form to the cating that he/she prefers to be contacted; or Medical History Form to the birth parent. birth parent. 5. The original birth certificate only lists (B) A birth parent may change or update (C) A birth parent may request that an one (1) parent and that parent has not filed a the Birth Parent Medical History Form by adoptee contact him or her only through an Birth Parent Contact Preference Form. completing a new Cover Sheet for Birth intermediary, rather than be contacted direct- (I) The department shall issue a non-certi- Parent Medical History Form and Birth ly by the adoptee, as indicated by the birth fied copy of the original birth certificate Parent Medical History Form and delivering parent on the Birth Parent Contact Preference stamped “For genealogical purposes only-not or mailing the forms to the department at the Form. In this case, the birth parent shall to be used for establishing identity” to the address listed in section (3) above. write the name and contact information of the adoptee, adoptee’s attorney, birth parent, or (C) A birth parent shall provide informa- intermediary on the Birth Parent Contact lineal descendant applicant with the identify- tion regarding only him or herself, and his or Preference Form. ing information redacted for the birth parent her blood relatives, such as mother, father, (D) If a birth parent has filed a Birth Parent who indicated they prefer not to be contacted sisters, brothers, grandparents, and other bio- Contact Preference Form with the depart- or preferred to be contacted by an intermedi- logical children on the Birth Parent Medical ment, the department shall provide a copy of ary when— History Form. the form to the adoptee, adoptee’s attorney, 1. The original birth certificate only lists (D) If a birth parent has filed more than or lineal descendant applicant. one (1) parent and that parent has filed a one (1) Birth Parent Medical History Form, (E) If a birth parent has filed more than Birth Parent Contact Preference Form indi- the department shall release to the applicant a one (1) Birth Parent Contact Preference cating that he/she prefers not to be contacted copy of only the most recently dated form. Form, the department shall issue a copy of or prefers contact by an intermediary; (E) The department shall not use the infor- only the most recently dated Birth Parent 2. The original birth certificate lists two mation on the Cover Sheet for Birth Parent Contact Preference Form to the adoptee, (2) parents and one (1) parent has filed a Medical History Form or Birth Parent adoptee’s attorney, or lineal descendant appli- Birth Parent Contact Preference Form indi- Medical History Form for statistical or any cant. cating that he/she prefers not to be contacted other purposes and shall not disclose the (F) The Birth Parent Contact Preference or prefers contact through an intermediary information to anyone other than the adoptee, Form issued to the adoptee, adoptee’s attor- and the other parent has not filed a Birth adoptee’s attorney, or lineal descendant appli- ney, or lineal descendant shall not include the Parent Contact Preference Form; or cant. Cover Sheet for Birth Parent Contact 3. The original birth certificate lists two (F) The copy of the Birth Parent Medical Preference Form. (2) parents and one (1) parent has filed a History Form issued to the adoptee, (G) The department shall not issue a copy Birth Parent Contact Preference Form indi- adoptee’s attorney, or lineal descendant shall of the original birth certificate to the adoptee, cating that he/she prefers not to be contacted not include the Cover Sheet for Birth Parent adoptee’s attorney, birth parent, or lineal or prefers contact through an intermediary Medical History Form. descendant applicant when— and the other parent has filed a Birth Parent 1. The applicant does not meet the Contact Preference Form indicating that (4) Adoptee Contact Preference Form. An requirements of section 193.128, RSMo, and he/she prefers to be contacted. adoptee may state his or her preference for this rule; or contact with the birth parent(s) by completing 2. Both birth parents have filed a Birth (3) Birth Parent Medical History Form. A a Cover Sheet for Adoptee Contact Parent Contact Preference Form indicating birth parent may provide or update his or her Preference Form and an Adoptee Contact that they prefer not to be contacted or prefer medical history by completing a Cover Sheet Preference Form as published August 2018 contact through an intermediary. for Birth Parent Medical History Form and a which are incorporated by reference in this (H) The department shall issue a non-cer- Birth Parent Medical History Form as pub- rule and may be obtained at tified, unredacted copy of the original birth lished August 2018 which are incorporated by www.health.mo.gov or by calling (573) 751- certificate stamped “For genealogical purpos- reference in this rule and may be obtained at 6387. This rule does not incorporate any sub- es only-not to be used for establishing identi- www.health.mo.gov or by calling (573) 751- sequent amendments or additions. Completed ty” upon request to a qualified adoptee, 6387. This rule does not incorporate any sub- forms may be delivered in person to the adoptee’s attorney, birth parent, or lineal sequent amendments or additions. Completed department at 930 Wildwood Drive, Jefferson descendant applicant when— forms may be delivered in person to the City, Missouri, or by mail to the Department 1. The original birth certificate lists two department at 930 Wildwood Drive, Jefferson of Health and Senior Services, PO Box 570, (2) parents and neither birth parent has filed City, Missouri, or by mail to the Department Jefferson City, MO 65102. a Birth Parent Contact Preference Form; of Health and Senior Services, PO Box 570, (A) An adoptee shall provide to the depart- 2. The original birth certificate lists two Jefferson City, MO 65102. ment adequate information as requested on (2) parents and both have filed a Birth Parent (A) A birth parent shall furnish to the the Cover Sheet for Adoptee Contact Contact Preference Form indicating he/she department adequate information as request- Preference Form so that the department can prefers to be contacted; ed on the Cover Sheet for Birth Parent identify the correct sealed file in which to 3. The original birth certificate lists two Medical History Form so that the department place the form. An adoptee shall also pay a (2) parents and one (1) parent has filed a can identify the correct sealed file in which to non-refundable fee for processing the form Birth Parent Contact Preference Form indi- place the Birth Parent Medical History Form. and searching for the original birth record in cating that he/she prefers to be contacted and If the department is unable to identify the an amount equal to the fee for a certified copy

16 CODE OF STATE REGULATIONS (2/28/19) JOHN R. ASHCROFT Secretary of State Chapter 10—Vital Records 19 CSR 10-10

of a birth certificate. If the department is 6387. This rule does not incorporate any sub- department at 930 Wildwood Drive, Jefferson unable to identify the correct sealed file based sequent amendments or additions. The appli- City, Missouri, or by mail to the Department upon the information provided by the adoptee cation shall include a non-refundable fee in of Health and Senior Services, PO Box 570, on the Cover Sheet for Adoptee Contact an amount equal to the fee for a certified copy Jefferson City, MO 65102. Preference Form, the department shall return of a birth certificate. Completed forms and (A) The applicant shall furnish to the the Cover Sheet for Adoptee Contact fees may be delivered in person to the depart- department adequate information as request- Preference Form and the Adoptee Contact ment at 930 Wildwood Drive, Jefferson City, ed on the Application for Non-Certified Copy Preference Form to the adoptee. Missouri, or by mail to the Department of of an Original Birth Certificate by Lineal (B) An adoptee may change his or her con- Health and Senior Services, PO Box 570, Descendant form so that the department can tact preference by completing a new Cover Jefferson City, MO 65102. identify the correct sealed file containing the Sheet for Adoptee Contact Preference Form (A) If the adoptee’s attorney submits the original birth certificate. and Adoptee Contact Preference Form. An Application for Non-Certified Copy of an (B) The department shall not issue a copy adoptee shall also pay a non-refundable fee Original Birth Certificate by Adoptee, of the original birth certificate to the appli- for processing the form and searching for the Adoptee’s Attorney, or Birth Parent form, the cant when— original birth record in an amount equal to attorney shall provide the department with a 1. The applicant cannot provide a certi- the fee for a certified copy of a birth certifi- statement signed by the adoptee or other doc- fied death certificate of the adoptee; or cate. The forms and fee shall be mailed or umentation establishing the attorney’s author- 2. The applicant cannot provide docu- delivered to the department at the address ity to act on behalf of the adoptee. mentation that confirms the applicant is a lin- listed in section (4) above. If the department (B) The applicant shall furnish to the eal descendant of the adoptee. is unable to identify the correct sealed file department adequate information as request- (C) The department shall issue copies of based upon the information provided by the ed on the Application for Non-Certified Copy the original birth certificate to the lineal adoptee on the Cover Sheet for Adoptee of an Original Birth Certificate Adoptee, descendant as provided in subsections (2)(G)– Contact Preference Form, the department Adoptee’s Attorney, or Birth Parent form so (I) of this rule. If the department cannot shall return the Cover Sheet for Adoptee that the department can identify the correct locate the original birth certificate, the Contact Preference Form and the Adoptee sealed file containing the original birth cer- department shall issue to the applicant a writ- Contact Preference Form to the adoptee. tificate. ten statement that no record was found. (C) An adoptee may request that a birth (C) The department shall issue copies of (D) The copy of the original birth certifi- parent contact him or her only through an the original birth certificate to the adoptee, cate issued to the applicant shall be stamped intermediary, rather than be contacted direct- adoptee’s attorney, or birth parent(s) as pro- “For genealogical purposes only—not to be ly by the birth parent, as indicated by the vided in subsections (2)(G)-(I) of this rule. If adoptee on the Adoptee Contact Preference the department cannot locate the original used for establishing identity.” Form. In this case, the adoptee shall write the birth certificate, the department shall issue to (E) If the adoptee’s birth parent(s) have name and contact information of the interme- the applicant a written statement that no provided a Birth Parent Contact Preference diary on the Adoptee Contact Preference record was found. Form or Birth Parent Medical History Form Form. (D) The copy of the original birth certifi- to the department, or the adoptee has provid- (D) If an adoptee has filed an Adoptee cate issued to the adoptee, adoptee’s attorney, ed an Adoptee Contact Preference Form to Contact Preference Form with the depart- or birth parent applicant shall be stamped the department, the department shall provide ment, the department shall provide a copy of “For genealogical purposes only—not to be a copy of the form(s) to the lineal descendant the form to the birth parent and lineal descen- used for establishing identity.” applicant. dant applicant. (E) If the adoptee’s birth parent(s) have (E) If an adoptee has filed more than one provided a Birth Parent Contact Preference (7) Applicants, birth parents, or others shall (1) Adoptee Contact Preference Form, the Form or Birth Parent Medical History Form not send to the department items other than department shall issue a copy of only the to the department, the department shall pro- the forms prescribed by this regulation (e.g., most recently dated Adoptee Contact vide a copy to the adoptee, adoptee’s attor- letters, papers, photos, mementos, etc). Any Preference Form to the birth parent or lineal ney, or lineal descendant applicant. such items sent to the department shall be descendant applicant. discarded. (F) The Adoptee Contact Preference Form (6) Lineal Descendant Request for Original issued to the birth parent and lineal descen- Birth Certificate. Lineal descendants of a (8) The department shall not issue copies of dant applicant shall not include the Cover deceased adoptee may request a copy of the vital records, including birth, death, mar- Sheet for Adoptee Contact Preference Form. adoptee’s original birth certificate by com- riage, or divorce records, for the birth parents pleting an Application for Non-Certified to an adoptee, adoptee’s attorney, or lineal (5) Adoptee, Adoptee’s Attorney, and Birth Copy of an Original Birth Certificate by descendant of the adoptee. Parent Request for Original Birth Certificate. Lineal Descendant form which is incorporat- An adoptee, adoptee’s attorney, or birth parent ed by reference in this rule as published (9) The department shall not release any may request a copy of the adoptee’s original August 2018 and may be obtained at information pertaining to the adoptee other birth certificate by completing an Application www.health.mo.gov or by calling (573) 751- than the original birth certificate or Adoptee for Non-Certified Copy of an Original Birth 6387. This rule does not incorporate any sub- Contact Preference form, if completed, to the Certificate by Adoptee, Adoptee’s Attorney, sequent amendments or additions. The appli- birth parent. or Birth Parent form which is incorporated by cation shall include a non-refundable fee in reference in this rule as published August an amount equal to the fee for a certified (10) The department shall not amend the 2018 and may be obtained at copy of a birth certificate. Completed forms adoptee’s original birth certificate as defined www.health.mo.gov or by calling (573) 751- and fees may be delivered in person to the in this rule.

JOHN R. ASHCROFT (2/28/19) CODE OF STATE REGULATIONS 17 Secretary of State 19 CSR 10-10—DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 10—Office of the Director

(11) When the state registrar of vital records finds evidence that an application was made through misrepresentation or fraud, he or she shall have authority to withhold issuance of a certificate until a court determination of facts has been made.

AUTHORITY: sections 193.035 and 193.045, RSMo 2016, and section 193.128, RSMo Supp. 2018.* Emergency rule filed Aug. 29, 2016, effective Sept. 8, 2016, expired March 6, 2017. Original rule filed Aug. 29, 2016, effective Feb. 28, 2017. Emergency amendment filed Sept. 10, 2018, effective Sept. 20, 2018, expired March 18, 2019. Amended: Filed Sept. 10, 2018, effective March 30, 2019.

*Original authority: 193.035, RSMo 1984, amended 1993, 1995; 193.045, RSMo 1984; and 193.128, RSMo 2016, amended 2018.

18 CODE OF STATE REGULATIONS (2/28/19) JOHN R. ASHCROFT Secretary of State