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Office of Vital Records 125 Worth Street, CN-4, Room 133 New York, N.Y. 10013-4090 SEE INSTRUCTIONS AND APPLICABLE FEES BELOW DO NOT WRITE IN THIS SPACE OFFICE USE ONLY CERTIFICATE OF STILL BIRTH
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How to fill out certificate of still birth

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How to fill out a certificate of still birth?

01
Obtain the certificate form: The first step in filling out a certificate of still birth is to obtain the necessary form. This can usually be obtained from your local vital records office or hospital. You may need to provide some basic information about the still birth, such as the date and location.
02
Fill out the personal information: Start by providing the personal information required on the certificate. This typically includes the full name of the stillborn baby, the date and time of birth, and the gender. You may also need to provide the mother's name, address, date of birth, and the father's name, if applicable.
03
Provide additional details: The next step is to provide any additional details required on the certificate. This may include information about the parents, such as their marital status, occupation, and ethnicity. You may also need to provide information about any previous births or pregnancies the mother has had.
04
Sign and date the certificate: Once you have completed all the necessary information, make sure to sign and date the certificate. Depending on the requirements of your local jurisdiction, you may need to have the certificate signed by a medical professional or other authorized individual.

Who needs a certificate of still birth?

01
Parents: The primary individuals who may need a certificate of still birth are the parents of the stillborn baby. They may need this certificate for various purposes, such as obtaining a birth or death certificate, applying for benefits or insurance, or documenting the loss for personal or legal reasons.
02
Medical professionals: Medical professionals involved in the delivery or treatment of the stillborn baby may also require a certificate of still birth for their records. This helps in maintaining accurate medical records and providing appropriate care and support to the parents.
03
Legal authorities: In some cases, legal authorities may request a certificate of still birth as part of an investigation or legal process. This may be necessary in situations where there are questions or concerns surrounding the circumstances of the still birth.
It is important to remember that the specific requirements for obtaining and filling out a certificate of still birth may vary depending on your jurisdiction. It is recommended to consult with your local vital records office or healthcare provider for specific instructions and guidance.
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A certificate of still birth is an official document that confirms the occurrence of a stillbirth.
Parents or legal guardians of the stillborn child are required to file the certificate of still birth.
The certificate of still birth must be filled out with accurate information about the stillborn child, including date and place of birth, parents' information, and cause of stillbirth.
The purpose of the certificate of still birth is to document the occurrence of a stillbirth for legal and statistical purposes.
Information such as date and place of stillbirth, parents' names and information, and cause of stillbirth must be reported on the certificate of still birth.
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