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.