A certificate of live birth for each birth occurring in Missouri must be filed within five (5) days after the date of birth (Section 193.085, RSMo).  Certificates containing erasures, whiteouts, writeovers, or faxes or reproduced copies will NOT be accepted. If your child has reached his/her twelfth birthday and no record was registered, pursuant to Section 193.105.1, RSMo, you will need to use the Delayed Birth process and will need to contact this office for further instructions at 573-751-6378. 

The certificate shall be prepared and registered by one of the following in the indicated order:

  1. The physician in attendance at or immediately after the birth.
  2. Any other person in attendance at or immediately after the birth. (Certified Nurse Midwife, Certified Professional Midwife, Certified Midwife, or Other Midwife.)
  3. The father, the mother, or, in the absence of the father and the inability of the mother, the person in charge of the premises where the birth occurred.

To request a certificate of live birth and further details about correctly documenting an out of facility birth/home birth, please contact the Bureau of Vital Records at 573-751-6378.

Evidence of Birth

Note: Evidence to support the facts of birth will be required in addition to the certificate of live birth to properly register the birth with the Bureau of Vital Records. Suggested documents include, but are not limited to:

  1. Evidence of the pregnancy
    • Prenatal or postnatal record consistent with the date of delivery
    • Physician statement
    • Hospital, clinic, or laboratory record
    • A notarized, sworn statement from two different, unrelated individuals that the mother was
    • pregnant during the time of birth to which is being sworn.
  2. Evidence of the mother’s residence in this state at the time of the birth
    Evidence documents must include mother’s name and address and be from month of birth.
    • Prenatal or postnatal record consistent with the date of delivery
    • Physician statement
    • Hospital, clinic, or laboratory record
    • Public health office statement
    • Statement from medical provider
    • Utility or telephone bill  
    • Rent receipt
    • Pay stub
    • Bank statement
    • Social service record if receiving public assistance (i.e. WIC, food stamps, child support, etc.)

Out of State Residents

If the mother resides out of state, proof of presence in Missouri during delivery in lieu of proof of residency during delivery is required. Evidence from the day of delivery include, but are not limited to:

  • Gas receipt
  • Purchase/sales receipt
  • Notarized driver/transportation statement
  • Travel documents/itineraries

Evidence of Birth Exceptions

Licensed Physician (MD, DO)
All out of facility births require a notarization of the certificate of live birth to properly document the birth. However, a licensed physician is not required to submit proof of pregnancy and residency with the notarized certificate of live birth.
Accredited Midwife (CNM, CPM, CM)
All out of facility births require a notarization of the certificate of live birth to properly document the birth. However, a Certified Nurse Midwife (CNM), Certified Professional Midwife (CPM), or Certified Midwife (CM) is not required to submit proof of pregnancy and residency with the notarized certificate of live birth. A lay midwife would not qualify for this exception.

If at any time in this process, the State Registrar has cause to question the validity or adequacy of the applicant’s statement or the documentary evidence, and if the deficiencies are not corrected, the State Registrar shall not register the report of live birth.  If the State Registrar does not register the delayed certificate of live birth, you may appeal the Bureau’s decision to a court of competent jurisdiction and obtain a court order to create a birth certificate for the child.