Section 5-C:75-a Certificate of Stillbirth. - New Hampshire Statutes

The director shall establish a certificate of stillbirth for a fetal death, as defined in RSA 5-C:1, XII, occurring in this state on the following form:

New Hampshire Certificate of Stillbirth

Name of Parents: _________________________Date of Stillbirth: _________________________Place of Stillbirth: _________________________Name parents choose: _________________________ (optional)
   Issued by New Hampshire division of vital records administration
   ________________________ __________
   Director of vital records Date

Source. 2008, 239:1, eff. Aug. 23, 2008.