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2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2435 - Records, what confidential, what subject to disclosure — procedure — central registry to receive complaints of abuse and neglect.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2435. Records, what confidential, what subject to disclosure — procedure — central registry to receive complaints of abuse and neglect. —
1. Reports made pursuant to sections 192.2400 to 192.2470 shall be confidential and shall not be deemed a public record and shall not be subject to the provisions of section 109.180 or chapter 610.
2. Such reports shall be accessible for examination and copying only to the following persons or offices, or to their designees:
(1) The department or any person or agency designated by the department;
(2) The attorney general;
(3) The department of mental health for persons referred to that department;
(4) Any appropriate law enforcement agency; and
(5) The eligible adult or such adult's legal guardian.
3. The name of the reporter shall not be disclosed unless:
(1) Such reporter specifically authorizes disclosure of his name; and
(2) The department determines that disclosure of the name of the reporter is necessary in order to prevent further harm to an eligible adult.
4. Any person who violates the provisions of this section, or who permits or encourages the unauthorized dissemination of information contained in the central registry and in reports and records made pursuant to sections 192.2400 to 192.2470, shall be guilty of a class A misdemeanor.
5. The department shall maintain a central registry capable of receiving and maintaining reports received in a manner that facilitates rapid access and recall of the information reported, and of subsequent investigations and other relevant information. The department shall electronically record any telephone report of suspected abuse and neglect received by the department and such recorded reports shall be retained by the department for a period of one year after recording.
6. Although reports to the central registry may be made anonymously, the department shall in all cases, after obtaining relevant information regarding the alleged abuse or neglect, attempt to obtain the name and address of any person making a report.
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(L. 1987 S.B. 277, A.L. 2014 H.B. 1299 Revision § 192.1088 merged with S.B. 491 § 197.1014)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.263
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2440 - Assistance to be given.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2440. Assistance to be given. —
When an eligible adult gives consent to receive protective services, the department shall assist the adult in locating and arranging for necessary services in the least restrictive environment reasonably available.
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(L. 1980 S.B. 576 § 4, A.L. 2014 H.B. 1299 Revision § 192.1090 merged with S.B. 491 § 197.1016)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.265
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2445 - Procedure when abuse, neglect, or physical harm may be involved — remedies.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2445. Procedure when abuse, neglect, or physical harm may be involved — remedies. —
When the department receives a report that there has been abuse or neglect, or that there otherwise is a likelihood of serious physical harm to an eligible adult and that he or she is in need of protective services and the department is unable to conduct an investigation because access to the eligible adult is barred by any person, the director may petition the appropriate court for a warrant or other order to enter upon the described premises and investigate the report or to produce the information. The application for the warrant or order shall identify the eligible adult and the facts and circumstances which require the issuance of the warrant or order. The director may also seek an order to enjoin the person from barring access to an eligible adult or from interfering with the investigation. If the court finds that, based on the report and relevant circumstances and facts, probable cause exists showing that the eligible adult faces abuse or neglect, or otherwise faces a likelihood of serious physical harm and is in need of protective services and the director has been prevented by another person from investigating the report, the court may issue the warrant or enjoin the interference with the investigation or both.
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(L. 1980 S.B. 576 § 5, A.L. 2003 S.B. 556 & 311, A.L. 2014 H.B. 1299 Revision § 192.1092 merged with S.B. 491 § 197.1018)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.270
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2450 - Interference with delivery of services, effect — remedy.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2450. Interference with delivery of services, effect — remedy. —
If an eligible adult gives consent to receive protective services and any other person interferes with or prevents the delivery of such services, the director may petition the appropriate court for an order to enjoin the interference with the delivery of the services. The petition shall allege the consent of the eligible adult and shall allege specific facts sufficient to show that the eligible adult faces a likelihood of serious physical harm and is in need of the protective services and that delivery is barred by the person named in the petition. If the court finds upon a preponderance of evidence that the allegations in the petition are true, the court may issue an order enjoining the interference with the delivery of the protective services and may establish such conditions and restrictions on the delivery as the court deems necessary and proper under the circumstances.
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(L. 1980 S.B. 576 § 6, A.L. 2014 H.B. 1299 Revision § 192.1094 merged with S.B. 491 § 197.1020)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.275
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2455 - Recipient unable to give consent, procedure, remedy.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2455. Recipient unable to give consent, procedure, remedy. —
When an eligible adult facing the likelihood of serious physical harm and in need of protective services is unable to give consent because of incapacity or legal disability and the guardian of the eligible adult refuses to provide the necessary services or allow the provision of such services, the director shall inform the court having supervisory jurisdiction over the guardian of the facts showing that the eligible adult faces the likelihood of serious physical harm and is in need of protective services and that the guardian refuses to provide the necessary services or allow the provision of such services under the provisions of sections 192.2400 to 192.2470. Upon receipt of such information, the court may take such action as it deems necessary and proper to insure that the eligible adult is able to meet his essential human needs.
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(L. 1980 S.B. 576 § 7, A.L. 1983 S.B. 44 & 45, A.L. 2014 H.B. 1299 Revision § 192.1096 merged with S.B. 491 § 197.1022)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.280
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2460 - Director may proceed under other law, when — legal counsel may be retained, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2460. Director may proceed under other law, when — legal counsel may be retained, when. —
1. If the director determines after an investigation that an eligible adult is unable to give consent to receive protective services and presents a likelihood of serious physical harm, the director may initiate proceedings pursuant to chapter 202
*
or chapter 475, if appropriate.
2. In order to expedite adult guardianship and conservatorship cases, the department may retain, within existing funding sources of the department, legal counsel on a case-by-case basis.
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(L. 1980 S.B. 576 § 8, A.L. 2002 S.B. 810, A.L. 2014 H.B. 1299 Revision § 192.1097 merged with S.B. 491 § 197.1024)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.285
*Chapter 202 does not exist.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2470 - Discontinuance of services, when — exception.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2470. Discontinuance of services, when — exception. —
If an eligible adult does not consent to the receipt of reasonable and necessary protective services, or if an eligible adult withdraws previously given consent, the protective services shall not be provided or continued; except that, if the director has reasonable cause to believe that the eligible adult lacks the capacity to consent, the director may seek a court order pursuant to the provisions of section 192.2460.
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(L. 1980 S.B. 576 § 10, A.L. 2014 H.B. 1299 Revision § 192.1100 merged with S.B. 491 § 197.1028)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.295
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2500 - Prohibition against disclosure of reports, exceptions — employment security provided reports upon request.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2500. Prohibition against disclosure of reports, exceptions — employment security provided reports upon request. —
1. Reports confidential under section 198.070 and sections 192.2475 to 192.2490 shall not be deemed a public record and shall not be subject to the provisions of section 109.180 or chapter 610. The name of the complainant or any person mentioned in the reports shall not be disclosed unless:
(1) The complainant, resident or the in-home services client mentioned agrees to disclosure of his or her name;
(2) The department determines that disclosure is necessary in order to prevent further abuse, neglect, misappropriation of property or funds, or falsification of any documents verifying service delivery to an in-home services client;
(3) Release of a name is required for conformance with a lawful subpoena;
(4) Release of a name is required in connection with a review by the administrative hearing commission in accordance with section 198.039;
(5) The department determines that release of a name is appropriate when forwarding a report of findings of an investigation to a licensing authority; or
(6) Release of a name is requested for the purpose of licensure under chapter 210.
2. The department shall, upon request, provide to the division of employment security within the department of labor and industrial relations copies of the investigative reports that led to an employee being placed on the disqualification list.
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(L. 1992 S.B. 573 & 634, A.L. 2003 S.B. 556 & 311, A.L. 2014 H.B. 1299 Revision § 192.1112 merged with S.B. 491 § 197.1040)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.320
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.2505 - Confidentiality of records, records disclosed, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2014
192.2505. Confidentiality of records, records disclosed, when. —
Notwithstanding any other provision of law, the department shall not disclose personally identifiable medical, social, personal, or financial records of any eligible adult being served by the division of senior services except when disclosed in a manner that does not identify the eligible adult, or when ordered to do so by a court of competent jurisdiction. Such records shall be accessible without court order for examination and copying only to the following persons or offices, or to their designees:
(1) The department or any person or agency designated by the department for such purposes as the department may determine;
(2) The attorney general, to perform his or her constitutional or statutory duties;
(3) The department of mental health for residents placed through that department, to perform its constitutional or statutory duties;
(4) Any appropriate law enforcement agency, to perform its constitutional or statutory duties;
(5) The eligible adult, his or her legal guardian or any other person designated by the eligible adult; and
(6) The department of social services for individuals who receive Medicaid benefits, to perform its constitutional or statutory duties.
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(L. 2003 S.B. 556 & 311, A.L. 2014 H.B. 1299 Revision § 192.1114 merged with S.B. 491 § 197.1042)
Effective 8-28-14 (H.B. 1299 Revision); 1-01-17 (S.B. 491)
Transferred 2014; formerly 660.321
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.005 - Law, how cited.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.005. Law, how cited. —
Sections 193.005 to 193.325 may be cited as the "Uniform Vital Statistics Law".
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.025 - Office — exclusive system — preservation of records.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.025. Office — exclusive system — preservation of records. —
The department shall establish an office which shall install, maintain and operate the only system of vital statistics throughout the state. The office shall provide for the preservation of its official records.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.035 - Rules and regulations, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1995
193.035. Rules and regulations, procedure. —
The department may promulgate rules and regulations for the purpose of carrying out the provisions of sections 193.005 to 193.325. No rule or portion of a rule promulgated under the authority of this chapter shall become effective unless it has been promulgated pursuant to the provisions of section 536.024.
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(L. 1984 S.B. 574, A.L. 1993 S.B. 52, A.L. 1995 S.B. 3)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.045 - State registrar, administration of system, powers and duties.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.045. State registrar, administration of system, powers and duties. —
1. The department director or his designee shall be the state registrar of vital statistics.
2. The state registrar shall administer the system of vital statistics and shall:
(1) Conduct training programs to promote uniformity of policy and procedures throughout the state;
(2) Prescribe, furnish and distribute such forms as are required by sections 193.005 to 193.325 and the rules and regulations issued hereunder, or prescribe such other means for transmission of data as will accomplish the purposes of complete and accurate reporting and registration of vital records;
(3) Prepare and publish reports of vital statistics of this state and such other reports as may be required by department rules;
(4) Provide to the state or local health agencies copies of or data derived from certificates and reports required under sections 193.005 to 193.325, deemed necessary for state or local health planning and program activities. The state registrar shall establish a schedule for transmittal of such copies or data, but such copies or data shall remain the property of the department and the uses which may be made of them shall be governed by the state registrar.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.055 - Division of state into registration districts.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.055. Division of state into registration districts. —
The state registrar may divide the state into registration districts which shall conform to political subdivisions or combinations thereof, or of parts thereof.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.065 - Local registrars, qualifications, appointment — deputies — duties — recorder of deeds appointed as local registrar (St. Louis City).

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2006, 2 histories
193.065. Local registrars, qualifications, appointment — deputies — duties — recorder of deeds appointed as local registrar (St. Louis City). —
The state registrar may appoint local registrars, each of whom shall be a person employed by an official county or city health agency except as otherwise herein provided. Each local registrar shall be authorized under the provisions of section 193.255 and subsection 2 of section 193.265 to issue certifications of death records. A local registrar, with the approval of the state registrar, may appoint deputies to carry out some or all of the responsibilities of the local registrar as provided in sections 193.005 to 193.325 or the regulations promulgated pursuant thereto. The local registrars shall immediately report to the state registrar violations of sections 193.005 to 193.325 or the regulations promulgated pursuant thereto. In any city not within a county, the state registrar shall appoint the recorder of deeds for such city as the local registrar.
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(L. 1984 S.B. 574, A.L. 1985 S.B. 263, A.L. 2002 S.B. 1132, A.L. 2006 H.B. 1707 merged with S.B. 1177)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.075 - Certificates and reports, form, format, contents.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2021, 2 histories
193.075. Certificates and reports, form, format, contents. —
1. The forms of certificates and reports required by sections 193.005 to 193.325 or by regulations adopted hereunder shall include as a minimum the items recommended by the federal agency responsible for national vital statistics.
2. Each certificate, report, and other document required by sections 193.005 to 193.325 shall be on a form or in a format prescribed by the state registrar.
3. All vital records shall contain the date received for registration.
4. Information required in certificates or reports authorized by sections 193.005 to 193.325 may be filed and registered by photographic, electronic, or other means as prescribed by the state registrar.
5. In addition to other personal data required by the registrar to be entered on a birth certificate, each parent shall furnish to the registrar the Social Security account number, or numbers if applicable, issued to the parent unless the registrar finds good cause for not requiring the furnishing of such number or numbers. Good cause shall be determined in accordance with regulations established by the Secretary of the United States Department of Health and Human Services. The registrar shall make numbers furnished under this section available to the family support division and the children's division of the department of social services. Such numbers shall not be recorded on the birth certificate. The family support division shall not use any Social Security number furnished under the section for any purpose other than for the establishment and enforcement of child support obligations, and the confidentiality provisions and penalties contained in section 454.440 shall apply. The children's division shall not use any Social Security number furnished under this section for any purpose other than verifying the identity of a parent of a child whose birth record information is provided under section 210.156 and the confidentiality provisions of section 210.156 shall apply. Nothing in this section shall be construed to prohibit the department of health and senior services from using Social Security numbers for statistical purposes.
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(L. 1984 S.B. 574, A.L. 1990 S.B. 834, A.L. 2014 H.B. 1299 Revision, A.L. 2021 H.B. 429 merged with H.B. 432)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.087 - Voluntary acknowledgment of paternity — forms, contents — immunity for staff presenting form — training of hospital staff — intentional misidentification of parent, penalty — public assistance recipients, duty to cooperate.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2005
193.087. Voluntary acknowledgment of paternity — forms, contents — immunity for staff presenting form — training of hospital staff — intentional misidentification of parent, penalty — public assistance recipients, duty to cooperate. —
1. In addition to the requirements of subsection 2 of section 193.085, when a birth occurs to an unmarried mother, whether in an institution or en route to an institution, the person in charge of the institution or a designated representative shall:
(1) Provide a form or affidavit prescribed by the state registrar that may be completed by the child's mother and father to voluntarily acknowledge paternity of the child pursuant to section 193.215;
(2) File the form, when completed, along with the certificate required by this section; and
(3) Provide oral and written notice to the affiant required by section 193.215.
2. Any institution, the person in charge or a designated representative shall be immune from civil or criminal liability for providing the form or affidavit required by subsection 1 of this section, the information developed pursuant to that subsection, or otherwise fulfilling the duties required by subsection 1 of this section.
3. The family support division may contract with the department of health and senior services to provide assistance and training to the hospital staff assigned responsibility for providing the information, as appropriate, to carry out duties pursuant to this section. The family support division shall develop and distribute free of charge the information on the rights and responsibilities of parents that is required to be distributed pursuant to this section. The department of health and senior services shall provide free of charge to hospitals the acknowledgment of paternity affidavit, and instructions on the completion of the affidavit.
4. If no contract is developed with the department of health and senior services, then the family support division shall provide the assistance and training activities to hospitals pursuant to subsection 3 of this section.
5. Any affiant who intentionally misidentifies another person as a parent may be prosecuted for perjury, pursuant to section 575.040.
6. Due to lack of cooperation by public assistance recipients, the family support division shall either suspend the entire public assistance cash grant, or remove the needs of the adult recipient of public assistance from the cash grant, subject to good cause exceptions pursuant to federal law or regulations.
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(L. 1994 H.B. 1491 & 1134 § 1 merged with H.B. 1547 & 961 § 8 merged with S.B. 508 § 1, A.L. 1997 S.B. 361, A.L. 2005 S.B. 74 & 49)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.095 - Parentage unknown — report of custodian constitutes certificate — inspection by court order only.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.095. Parentage unknown — report of custodian constitutes certificate — inspection by court order only. —
1. Whoever assumes the custody of a live born infant of unknown parentage shall report on a form and in a manner prescribed by the state registrar within seven days to the local registrar the following information:
(1) The date and place of finding;
(2) Sex, color or race, and approximate birth date of child;
(3) Name and address of the person or institution with whom the child has been placed for care;
(4) Name given to the child by the custodian of the child;
(5) Other data required by the state registrar.
2. The place where the child was found shall be entered as the place of birth.
3. A report registered under this section shall constitute the certificate of birth for the child.
4. If the child is identified and a certificate of birth is found or obtained, the report registered under this section shall be placed in a special file and shall not be subject to inspection except upon order of a court of competent jurisdiction or as provided by regulation of the department.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.105 - Delayed filing, registration — refusal — appeal.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.105. Delayed filing, registration — refusal — appeal. —
1. When a certificate of birth of a person born in this state has not been filed within the time period provided in section 193.085, a certificate of birth may be filed in accordance with regulations of the department and registered subject to such evidentiary requirements as the department shall by regulation prescribe to substantiate the alleged facts of birth.
2. Certificates of birth registered one year or more after the date of birth shall be made on forms prescribed and furnished by the state registrar, marked "Delayed", and shall show on their face the date of the delayed registration.
3. A summary statement of the evidence submitted in support of the delayed registration shall be endorsed on the certificate.
4. When an applicant does not submit the minimum documentation required in the regulations for delayed registration or when the state registrar has reasonable cause to question the validity or adequacy of the applicant's sworn statement or the documentary evidence, and if the deficiencies are not corrected, the state registrar shall not register the delayed certificate of birth and shall advise the applicant of the reasons for this action, and shall further advise the applicant of his or her right of appeal to a court of competent jurisdiction.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.115 - Court order constituting birth certificate, petition, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2005
193.115. Court order constituting birth certificate, petition, procedure. —
1. If a delayed certificate of birth is rejected under the provisions of section 193.105, a petition signed and sworn to by the petitioner may be filed with a court of competent jurisdiction for an order establishing a record of the date and place of the birth and the parentage of the person whose birth is to be registered.
2. Such petition shall be made on a form prescribed or approved by the state registrar and shall allege:
(1) That the person for whom a delayed certificate of birth is sought was born in this state;
(2) That no certificate of birth of such person can be found in the department or the office of any local custodian of birth certificates;
(3) That diligent efforts by the petitioner have failed to obtain the evidence required in accordance with section 193.105, and regulations adopted pursuant thereto;
(4) That the state registrar has refused to register a delayed certificate of birth;
(5) Such other allegations as may be required.
3. The petition shall be accompanied by a statement of the state registrar made in accordance with section 193.105 and all documentary evidence which was submitted to the state registrar in support of such registration.
4. The court shall fix a time and place for hearing the petition and shall give the state registrar thirty days' notice of said hearing. The state registrar or his authorized representative may appear and testify in the proceeding.
5. If the court finds, from the evidence presented, that the person for whom a delayed certificate of birth is sought was born in this state, it shall make findings as to the place and date of birth, parentage, and such other findings as may be required and shall issue an order, on a form prescribed or approved by the state registrar, to establish a certificate of birth. This order shall include the birth data to be registered, a description of the evidence presented, and the date of the court's action.
6. The clerk of the court shall forward each such order to the state registrar not later than the tenth day of the calendar month following the month in which it was entered. Such order shall be registered by the state registrar and shall constitute the certificate of birth.
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(L. 1984 S.B. 574, A.L. 2005 S.B. 74 & 49)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.135 - New certificate of birth established or old one amended, when — inspection of certain records by court order only.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.135. New certificate of birth established or old one amended, when — inspection of certain records by court order only. —
1. The state registrar shall establish a new certificate of birth for a person born in this state when he or she received the following:
(1) A certificate of decree of adoption as provided in section 193.125 or a report of adoption prepared and filed in accordance with the laws of another state or foreign country, or a certified copy of the decree of adoption, together with the information necessary to identify the original certificate of birth and to establish a new certificate of birth; except that a new certificate of birth shall not be established if so requested by the court decreeing the adoption, the adoptive parents, or the adopted person;
(2) A request that a new certificate be established upon such evidence as required by the department proving that such person has been legitimated.
2. When a new certificate of birth is established, the actual place and date of birth shall be shown. The new certificate shall be substituted for the original certificate of birth in the files, and the original certificate of birth and the evidence of adoptions or legitimation shall not be subject to inspection except upon order of a court of competent jurisdiction or as provided by department rules.
3. Upon receipt of a report of an amended decree of adoption, the certificate of birth shall be amended.
4. Upon receipt of a report or decree of annulment of adoption, the original certificate of birth shall be restored to its place in the files and the new certificate and evidence shall not be subject to inspection except upon order of a court of competent jurisdiction or as provided by department rules.
5. When a new certificate of birth is established by the state registrar, all copies of the original certificate of birth in the custody of any other custodian of vital records in this state shall be sealed from inspection or forwarded to the state registrar, as he directs.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.155 - Delayed filing, registration.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.155. Delayed filing, registration. —
1. When a death occurring in this state has not been registered within the time period prescribed by section 193.145, a certificate of death may be filed in accordance with department rules. Such certificate shall be registered subject to such evidentiary requirements as the department shall prescribe to substantiate the alleged facts of death.
2. Certificates of death registered one year or more after the date of death shall be marked "Delayed" and shall show on their face the date of the delayed registration.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.165 - Spontaneous fetal death report — release of reports — application for certificate of birth resulting in stillbirth, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2004
193.165. Spontaneous fetal death report — release of reports — application for certificate of birth resulting in stillbirth, procedure. —
1. Each spontaneous fetal death of twenty completed weeks gestation or more, calculated from the date the last normal menstrual period began to the date of delivery, or a weight of three hundred fifty grams or more, which occurs in this state shall be reported within seven days after delivery to the local registrar or as otherwise directed by the state registrar.
2. When a dead fetus is delivered in an institution, the person in charge of the institution or his or her designated representative shall prepare and file the report.
3. When a dead fetus is delivered outside an institution, the physician in attendance at or immediately after delivery shall prepare and file the report.
4. When a spontaneous fetal death required to be reported by this section occurs without medical attendance at or immediately after the delivery or when inquiry is required by the medical examiner or coroner, the medical examiner or coroner shall investigate the cause of spontaneous fetal death and shall prepare and file the report within seven days.
5. When a spontaneous fetal death occurs in a moving conveyance and the fetus is first removed from the conveyance in this state or when a dead fetus is found in this state and the place of the spontaneous fetal death is unknown, the spontaneous fetal death shall be reported in this state. The place where the fetus was first removed from the conveyance or the dead fetus was found shall be considered the place of the spontaneous fetal death.
6. Notwithstanding any provision of law to the contrary, individuals with direct and tangible interest, as defined by the department of health and senior services, may receive the spontaneous fetal death report.
7. In the event of a spontaneous fetal death, regardless of whether such death occurs before or after August 28, 2004, either parent, or if both parents are deceased, a sibling of the stillborn child, shall have the right to file an application with the state registrar and other custodians of vital records requesting a certificate of birth resulting in stillbirth. The certificate shall be based upon the information available from the spontaneous fetal death report filed pursuant to this section.
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(L. 1984 S.B. 574, A.L. 1999 S.B. 25, A.L. 2004 H.B. 1136)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.175 - Person in charge of final disposition of dead body to affix tag with identifying information, requirements.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2023, 2 histories
193.175. Person in charge of final disposition of dead body to affix tag with identifying information, requirements. —
The funeral director or person in charge of final disposition of a dead body shall, prior to the interment of such dead body, affix on the ankle or wrist of the deceased and/or in a capsule or other container placed in the casket or, if the dead body is cremated, on the inside of the vessel containing the remains, a tag encased in durable and long-lasting material containing the name of the deceased, the date of birth, date of death and Social Security number of the deceased.
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(L. 1984 S.B. 574, A.L. 1994 S.B. 553, A.L. 2023 S.B. 116)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.185 - Marriage report — certification.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2001
193.185. Marriage report — certification. —
1. A report of each marriage performed in this state shall be filed with the department and shall be registered if it has been completed and filed in accordance with this section.
2. The official who issues the marriage license shall prepare the report on the form prescribed and furnished by the state registrar upon the basis of information obtained from one of the parties to be married.
3. Each person who performs a marriage shall certify the fact of marriage and return the license to the official who issued the license within fifteen days after the ceremony. This license shall be signed by the witnesses to the ceremony. A marriage certificate shall be given to the parties.
4. Every official issuing marriage licenses shall complete and forward to the department on or before the fifteenth day of each calendar month the reports of marriages returned to such official during the preceding calendar month.
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(L. 1984 S.B. 574, A.L. 2001 H.B. 157)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.195 - Marriage license recording fee.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.195. Marriage license recording fee. —
Every officer authorized to issue marriage licenses shall be paid a recording fee of two dollars for each marriage license filed and reported by him or her to the state registrar. The recording fee shall be paid by the applicant for the license and be collected together with the fee for the license.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.205 - Marriage dissolution or annulment record.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 01 Jul 1997, see footnote
193.205. Marriage dissolution or annulment record. —
1. A record of each dissolution of marriage and annulment of marriage granted by any court in this state shall be filed by the clerk of the court with the department and shall be registered if it has been completed and filed in accordance with this section. The record shall be prepared by the petitioner or such petitioner's legal representative on a form prescribed and furnished by the state registrar and shall be presented to the clerk of the court with the petition.
2. The clerk of the court shall complete and forward to the department on or before the fifteenth day of each calendar month the records of each dissolution of marriage and annulment of marriage decree granted during the preceding calendar month.
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(L. 1984 S.B. 574, A.L. 1996 S.B. 869)
Effective 7-1-97
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.225 - Methods of preserving records, requirements — certified reproductions accepted as originals — death record originals transferred to state archives.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2004
193.225. Methods of preserving records, requirements — certified reproductions accepted as originals — death record originals transferred to state archives. —
To preserve vital records, the state registrar is authorized to prepare typewritten, photographic, electronic, or other reproductions of vital statistics certificates or reports. Such reproducing material shall be of durable material and the device used to reproduce the records shall be as to accurately reproduce and perpetuate the original records in all details ensuring their proper retention and integrity in accordance with standards established by the state records commission. Such reproductions when certified by the state registrar shall be accepted as the original records. Death records over fifty years old from which permanent reproductions have been made and verified shall be transferred to the Missouri state archives.
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(L. 1984 S.B. 574, A.L. 2004 H.B. 1634)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.235 - Probative value of delayed or altered certificates.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.235. Probative value of delayed or altered certificates. —
The probative value of a delayed or altered certificate shall be determined by the judicial or administrative body or official before whom the certificate is offered as evidence.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.245 - Inspection and copying of records, disclosure of information, unlawful unless authorized — authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 2004
193.245. Inspection and copying of records, disclosure of information, unlawful unless authorized — authority. —
It shall be unlawful for any person to permit inspection of, or to disclose information contained in, vital records or to copy or issue a copy of all or part of any such record except as authorized by this law and by regulation or by order of a court of competent jurisdiction or in the following situations:
(1) A listing of persons who are born or who die on a particular date may be disclosed upon request, but no information from the record other than the name and the date of such birth or death shall be disclosed;
(2) The department may authorize the disclosure of information contained in vital records for legitimate research purposes;
(3) To a qualified applicant as provided in section 193.255;
(4) Copies of death records over fifty years old may be disclosed upon request.
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(L. 1984 S.B. 574, A.L. 1992 H.B. 894, A.L. 2004 H.B. 1634)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.275 - Records to be kept by institutions and others — period — power of registrar to demand information.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.275. Records to be kept by institutions and others — period — power of registrar to demand information. —
1. Every person in charge of an institution shall keep a record of data concerning each person admitted or confined to such institution as may be required for the filing of a certificate of birth and death or report of spontaneous fetal death which occurs in the institution. The record shall be made from information provided by the person being admitted or confined, but when it cannot be so obtained, the information shall be obtained from relatives or other persons acquainted with the facts. The name and address of the person providing the information shall be a part of the record.
2. When a dead body or dead fetus is released or disposed of by an institution, the person in charge of the institution shall keep a record showing the name of the decedent, date of death, name and address of the person to whom the body or fetus is released, and the date of removal from the institution. If final disposition is made by the institution, the date, place, and manner of disposition shall also be recorded.
3. A funeral director, embalmer, sexton, or other person who removes from the place of death, transports, or makes final disposition of a dead body or fetus, in addition to filing any certificate or other report required by sections 193.005 to 193.325, or regulations promulgated hereunder, shall keep a record which shall identify the body, and such information pertaining to his receipt, removal, delivery, burial, or cremation of such body as may be required by regulations adopted by the department.
4. Records maintained under this section shall be retained for a period of not less than five years and shall be made available for inspection by the state registrar or his designee upon demand.
5. Any person having knowledge of the facts shall furnish such information as he may possess regarding any birth, death, spontaneous fetal death, marriage, or dissolution of marriage upon demand of the state registrar.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.285 - Local registrar's duties.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1984
193.285. Local registrar's duties. —
Local registrars shall transmit all certificates and reports filed with them to the state registrar in accordance with regulations of the department.
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(L. 1984 S.B. 574)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.315 - Acts which constitute crimes.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 01 Jan 2017, 2 histories, see footnote
193.315. Acts which constitute crimes. —
1. Any person who knowingly makes any false statement in a certificate, record, or report required by this chapter or in an application for an amendment thereof, or in an application for a certified copy of a vital record, or who knowingly supplies false information intending that such information be used in the preparation of any such report, record, or certificate, or amendment thereof shall be guilty of a class E felony.
2. Any person who, without lawful authority and with the intent to deceive, makes, counterfeits, alters, amends, or mutilates any certificate, record, or report required by this chapter, certified copy of such certificate, record, or report shall be guilty of a class E felony.
3. Any person who knowingly obtains, possesses, uses, sells, furnishes or attempts to obtain, possess, use, sell, or furnish to another, for any purpose of deception, any certificate, record, or report required by this chapter or certified copy thereof so made, counterfeited, altered, amended, or mutilated, or which is false in whole or in part or which relates to the birth of another person, whether living or deceased, shall be guilty of a class E felony.
4. Any employee of the department or involved with the system of vital statistics who knowingly furnishes or processes a certificate of birth, or certified copy of a certificate of birth, with the knowledge or intention that it be used for the purposes of deception shall be guilty of a class E felony.
5. Any person who without lawful authority possesses any certificate, record, or report, required by this chapter or a copy or certified copy of such certificate, record, or report knowing same to have been stolen, or otherwise unlawfully obtained, shall be guilty of a class E felony.
6. Any person who knowingly refuses to provide information required by this chapter, or regulations adopted hereunder, shall be guilty of a class A misdemeanor.
7. Any person who knowingly neglects or violates any of the provisions of this chapter or refuses to perform any of the duties imposed upon him by this chapter shall be guilty of a class A misdemeanor.
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(L. 1984 S.B. 574, A.L. 2014 S.B. 491)
Effective 1-01-17
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 193 - Vital Statistics › Section 193.325 - Application of law.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 193
• Effective - 28 Aug 1993
193.325. Application of law. —
The provisions of sections 193.005 to 193.325 apply to all certificates of birth, death, marriage and reports of dissolution of marriage and spontaneous fetal death received by the department and in the custody of the state registrar or any other custodian of vital records prior to August 13, 1984.
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(L. 1984 S.B. 574, A.L. 1993 S.B. 52)