The director shall establish a certificate of stillbirth for a fetal death, as defined in RSA 5-C:1I, XI, 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
RSA 5-C:75-a
2008, 239 : 1 , eff. Aug. 23, 2008.