
225 North McDowell St. Raleigh, NC 27603-1382 Application for a Copy of a North Carolina Report of Fetal Death and/or Certi cate of Birth Resulting in Stillbirth The Vital Records of ce will issue copies of Fetal Death Reports on le for events occurring July 1, 2001 forward along with a Stillbirth Certi cate if requested. According to G.S. 130A-114, if the fetal death occurred in this State prior to July 1, 2001, the State Registrar may not issue a certi cate of birth resulting in.
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How to fill out the NC DHHS-VR-FD online
This guide provides a clear and supportive approach to completing the NC DHHS-VR-FD form online. By following the step-by-step instructions, users can efficiently provide the necessary information for obtaining vital records related to fetal death and stillbirth.
Follow the steps to successfully complete the NC DHHS-VR-FD form.
- Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Begin by entering the full name of the fetus in the designated field. Ensure accuracy as this information is critical for record identification.
- Enter the date of delivery in the format of month, day, and year. Use the provided spaces to separate the values correctly.
- Provide the place of delivery, including the city and county where the fetal death occurred.
- If applicable, input the full name of the father in the required fields. Include first, middle, and last names.
- Next, fill in the full name of the mother. Ensure to include first, middle, and last names, as well as the maiden name, which is required.
- Indicate the type and number of reports or certificates needed by selecting the appropriate boxes and entering quantities as necessary.
- If expedited processing is desired, mark the corresponding box and include the fee in your total.
- Complete the section that asks for your relationship to the fetus and any other necessary declaration.
- Finish by certifying that all information provided is truthful. Sign and date the form where indicated.
- Prepare the form for submission. You can now save changes, download, print, or share the completed form as needed.
Take the next step towards obtaining vital records by completing the NC DHHS-VR-FD form online today.
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