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