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Get Stillborn Paper Result
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How to fill out the Stillborn Paper Result online
Filling out the Stillborn Paper Result is an important step in documenting the birth of your stillborn child. This guide provides clear and supportive instructions to help you complete the form accurately and efficiently.
Follow the steps to complete the Stillborn Paper Result online
- Press the ‘Get Form’ button to access the form and open it in your preferred editor.
- In Section 1, provide the customer information: Enter your full name, mailing address, city, state, and zip code. Include your contact phone number. Indicate your relationship to the stillborn child by selecting either 'I am the mother' or 'I am the father.' Ensure that you sign and date the application to confirm the accuracy of the information.
- In Section 2, focus on customer identification: Choose Box A by photocopying a government-issued ID that has your signature. Place the photocopy in the designated area. If you opt for Box B, ensure that your application is notarized by a public notary, who will sign and date the form. Note: Do not complete Box B if you are submitting your ID.
- In Section 3, provide a name for your stillborn child if you wish. If you choose not to provide a name, the certificate will list 'Baby Boy' or 'Baby Girl' with the last name of the father, or the last name of the mother if no father is listed.
- In Section 4, supply the information needed to locate your child's record: Fill in the stillborn child's name as it currently appears on the record, their date of birth, and the name of the hospital or city of delivery. Include your first, middle, and last names for both the mother and the father.
- After you've completed all sections of the form, review your information for accuracy. Once satisfied, you can save your changes, download, print, or share the form as needed.
Take the next step and complete the Stillborn Paper Result online today.
A stillbirth is the death or loss of a baby before or during delivery.
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