19 CSR 10-10.080
Report of Marriage
PURPOSE: This rule establishes the content of the report of
marriage for each marriage performed in this state to be filed with
the Department of Health.
(1) The report of marriage shall include the following items:
license number; groom’s name, age last birthday, date of birth,
birthplace, residence (city, town or location), state, zip code,
county, number of this marriage if previously married, last
marriage ended by (check appropriate box), date ended, race,
education; bride’s name, maiden surname, age last birthday,
date of birth, birthplace, residence (city, town or location),
state, zip code, county, number of this marriage if previously
married, last marriage ended by (check appropriate box)
and date ended, race, education; groom’s signature; bride’s
signature; month, day, year and time subscribed to and sworn
to; county of recording; date and time license issued; name of
recorder of deeds; signature and title of official; date ceremony
performed; where married—city, town or location; where
married—county; name of parent or legal guardian of groom
(if minor), relationship to applicant, address of parent or legal
guardian of groom, state, zip code, signature of parent or legal
guardian; name of parent or legal guardian of bride (if minor),
relationship to applicant, address of parent or legal guardian
of bride, state, zip code, signature of parent or legal guardian;
month, day and year subscribed to and sworn to; signature and
title of official.
AUTHORITY: section 193.185, RSMo 1986.* This rule was previously
filed as 19 CSR 30-10.070. Original rule filed Sept. 12, 1988, effective
Jan. 1, 1989. Changed to 19 CSR 10-10.080 July 30, 1998.
*Original authority: 193.185, RSMo 1984.
AND SENIOR SERVICES