A certified copy of a fetal death record (or birth resulting in stillbirth) may only be requested by a parent named on the record, an authorized representative or by an order from a court of competent jurisdiction.
Do I need any identification to make a request?
Yes. You must submit a legible photocopy of one of the following forms of primary photo identification with your request. The identification CANNOT be EXPIRED!
Category | Comment |
---|---|
Driver's License | Issued by a U.S. state or territory's Department of Transportation, or by a country. An Expired driver's licenses can be accepted if they expired in the last 30 days. |
Photo ID Card | Issued by a U.S. state or territory's Department of Transportation. Must be verifiable by the issuing agency, and must contain either an issue or an expiration date. |
Tribal ID Card | Issued by the U.S. Bureau of Indian Affairs. |
U.S. Military ID Card | Active duty, dependent, retired, reserve or National Guard. |
U.S. Passport | Issued by the U.S. Department of State. |
U.S. Visa | Issued by the U.S. Department of State. |
U.S. Permanent Resident Card | Issued by the U.S. Department of Homeland Security. |
If you do not have one of the prior primary forms of identification, you must provide a legible photocopy of two of the following. EXPIRED licenses or ID cards will NOT be accepted!
Category | Comment |
---|---|
Bank Statement | Must contain current address and be less than three months old. |
Motor Vehicle Registration Card | Issued by a U.S. state or territory and must be less than one year old and contain current address. |
Social Security Card | Issued by U.S. Social Security Administration. |
Social Services Card | Issued by a U.S. state or territory. (includes Medicaid/Medicare cards) |
Tribal Enrollment Record | Issued by a Native American Tribe. Must contain DOB. May also be called a Certificate of Indian Blood. |
Utility Bill | Must contain current address and be less than three months old. |
Paycheck Stub or W-2 (only one of these can be used) | The paycheck stub must have been issued within the last three months, and the W-2 within the last tax year and must include the name, SSN and name and address of the employer. |
DD Form 214 | Certificate of Release or Discharge from Active Duty |
If you cannot provide any of these forms of identification or if you have any other questions related to these requirements, please call our office at (701) 328-2360 or contact us by e-mail at vitalrec@nd.gov
How do I apply for a Fetal Death Record by Mail?
- Download and complete the fetal death request application form below.
- Include a check or money order made out to the "ND DHHS" for all required fees.
- Include primary or secondary forms of identification.
- Mail form, fees and identification to: Vital Records, 600 E. Boulevard Ave. Dept 325, Bismarck, ND 58505-0250