Fetal Death & Still Birth Certificate Application in New York : health.ny.gov

Organisation : Department of Health
Facility Name : Fetal Death Certificate Application
State : New York
Country : USA
Website : https://www.health.ny.gov/vital_records/fetal.htm

What is Fetal Death Certificate in New York?

The New York State Department of Health and the New York City Department of Health give Fetal Death Certificates. A mother (patient) can receive a certificate from the NYS Department of Health if the fetal death took place outside of New York City. She can receive a certificate from the NYC Department of Health if the fetal death took place in New York City.New York State Public Health Law says fetal death is death while still in the mother. The Fetal Death Certificate is the official record of the birth and death. A birth certificate is not given.

Related / Similar Facilities :

Genealogy Records & Resources Application

NYSED New York Credentials Verification Application

How To Apply Fetal Death Certificate?

To Apply Fetal Death Certificate, the form link is given below
Application Form link : https://www.health.ny.gov/forms/doh-3667.pdf

Required Fees For Fetal Death Certificate

Payment Options For Fetal Death Certificate

Personal Check, Postal Money Order, or Certified Check made payable to NYS Department of Health. – Do not send cash

Certificate of Still Birth

Certificate of Still Birth Application (PDF)

Overview For Certificate of Still Birth

The New York State Department of Health and the New York City Department of Health give Certificates of Still Birth. Parents can receive a certificate from the NYS Department of Health if the still birth took place outside of New York City. Parents can receive the certificate from the New York City Department of Health if the still birth took place in New York City.
A still birth is the death of a fetus after 20 weeks of gestation.
The State Health Department cannot certify the Certificate of Still Birth. If another agency asks for a certified copy, they may not accept the Certificate of Still Birth.

Who is eligible to get a copy of a Certificate of Still Birth?
Those who can receive a Certificate of Still Birth are:
** The parents listed on the Fetal Death certificate.
** If both parents are dead at the time of the still birth:
** A brother or sister of a parent listed on the fetal death certificate.
** A parent of a parent listed on the fetal death certificate.

If you are a brother or sister or a parent of a parent listed on the fetal death certificate, you must show proof of the deaths of the parents listed on the fetal death certificate. You must also show proof of your relationship.
** Proof of the death of a parent is a death certificate.
** Proof of you are a parent of the parent is a copy of a birth certificate.
** Proof that you are a brother or sister is a birth certificate.
** We will give you a Notification of No Record Available if we cannot give you a Certificate of Still Birth.

This will happen:
** If it is not a “still birth” according to Public Health Law.
** If information on the fetal death certificate does not match your request. It is best to have the person preparing the fetal death certificate complete the optional parts of the certificate with your information.
** If your information does not match any fetal death record on file with the department.
** If parents ask that the Certificate of Still Birth not be given.

Required Fees Certificate of Still Birth

Payment Options Certificate of Still Birth

** Personal Check, Postal Money Order, or Certified Check made payable to NYS Department of Health. – Do not send cash