Certificate of Birth Resulting in Stillbirth

 (Only for stillbirths/fetal deaths occurring in Nebraska)
The "Certificate of Birth Resulting in Stillbirth" is available.
Effective December 9, 2008

A legal copy of Certificate of Birth Resulting in Stillbirth cannot be issued without PDFproper purpose. Only the parent(s) of a stillborn (fetal death) may obtain a certified Certificate of Birth Resulting in Stillbirth.

Be sure that you meet the above proper purpose before applying for a copy of this certificate. The fee for the search will be kept if no record is found or the right person has not asked for the record. You will be notified in writing if no record is found or the proper purpose has not been met.

To get a Certificate of Birth Resulting in Stillbirth by mail, send a $12.00 check or money order made out to Vital Records (no credit cards) along with the following information:

  • Child’s name on record,
  • Month/day/year of stillbirth,
  • City or Town of stillbirth/County of stillbirth,
  • Father’s full name,
  • Mother’s full maiden name,
  • Why record is needed?
  • How are you related?
  • A photocopy of the current government-issued photo id of the person making the application, i.e. valid driver's license.

Downloads:

PDF Application for Certificate of Birth Resulting in Stillbirth


Mail to:
Nebraska Department of Health & Human Services
Division of Public Health
Vital Records
P.O. Box 95065
Lincoln, NE 68509-5065

If you have any questions, contact:
Phone: (402) 471-2871
E-mail: DHHS.VitalRecords@nebraska.gov

 

 


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