2020 New Hampshire Revised Statutes
Title I - The State and Its Government
Title 5-C - Vital Records Administration
Section 5-C:75-a - Certificate of Stillbirth.

Universal Citation: NH Rev Stat § 5-C:75-a (2020)
    5-C:75-a Certificate of Stillbirth. – 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.

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