TITLE I
THE STATE AND ITS GOVERNMENT

CHAPTER 5-C
VITAL RECORDS ADMINISTRATION

Death Registration Forms and Procedures

Section 5-C:75-a

    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.