State Codes and Statutes
Statutes > New-hampshire > TITLEI > CHAPTER5-C > 5-C-75-aThe 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.
