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
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