By Mail

Mail the completed application form, with a legal size self-addressed stamped envelope and check or money order for the search fee. Do not send cash. Mail to:

Vital Records

Acceptable identification includes

• Photocopy of drivers license
• Photocopy of state ID card
• Photocopy of tribal ID
• Photocopy of passport or Visa
• Photocopy of military ID

If you do not have a government issued photo ID, you must provide a photocopy of two of the following:

• Social Security card
• Utility bill with current address
• Bank statement with current address
• Pay stub (must include your name, Social Security number plus name and address of business)
• Car registration or title with current address

Mailing Address

VITAL RECORDS

Only the parent(s) of a stillborn are eligible to obtain a certified Certificate of Birth Resulting in Stillbirth.

Certified copy: $10.00 each

Explain the time until which the certificate/document is valid.
e.g. Birth Certificate Valid Forever

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• A Certificate of Birth Resulting in a Stillbirth (CBRS) can be issued for any fetal death records on file in the Vital Records Office.
• Fetal deaths were filed in the Department of Health beginning in 1948.
• Only the parents listed on the record are able to request a CBRS.
• A CBRS can be ordered by mail. Mail requests require a completed Certificate of Birth Resulting in a Stillbirth Application, signed in front of a notary OR a clear copy of a photo ID, along with the appropriate fee of $10.

• Name of Stillborn child
• Stillborn childs date of birth
• Hospital and/or City of Delivery
• Fathers full name,
• Mothers full maiden name,
• Mailing address
• Relationship (Mother/Father)
• A photocopy of the current government-issued photo id of the person making the application, i.e. valid driver's license.

If you want to obtain certified copy of birth resulting in stillbirth you can obtain one with following the procedure given below.

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e.g. Birth Certificate can be used as proof of identity.

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