Get Md Certificate Of Birth Resulting In Stillbirth Application 2017-2025

Filling out the Maryland Certificate of Birth Resulting in Stillbirth application can be an important step in memorializing your child. This guide provides detailed instructions to help you complete the application accurately and efficiently, ensuring that you can obtain this official document with ease.

Follow the steps to complete your application online:

1. Press the ‘Get Form’ button to obtain the Maryland Certificate of Birth Resulting in Stillbirth application form and open it in your preferred document editor.
2. Provide the date of your application in the specified field, using the format month/day/year.
3. Indicate the number of copies of the certificate you are requesting in the corresponding section.
4. Fill in the child’s name as it appears on the fetal death certificate, including first, middle, and last names.
5. Enter the date of delivery of the stillborn child in the specified area, again using the month/day/year format.
6. Specify the sex of the child in the designated field.
7. Detail the place of delivery, including the hospital name and the county or Baltimore City.
8. If known, provide the child’s fetal death certificate number.
9. Complete the mother's full maiden name, including first, middle, and last names.
10. If applicable, include the mother’s married name following the same format.
11. Fill in the father’s name with first, middle, and last names.
12. Write the mailing address of the parent(s), ensuring to include the street, city or town, state, and zip code.
13. The parent requesting the certificate should sign in the designated signature area.
14. Ensure you have included the payment of $12.00 for each certified copy, either by check or money order made payable to the Division of Vital Records.
15. Attach a valid government-issued photo ID or the specified alternative documents and photocopies.
16. Once you have completed the application, save your changes, and prepare to print or share the form as necessary.

Complete your documents online to ensure a smooth application process.