Arizona - Certificate of Birth Resulting in Stillbirth

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Procedure

Arizona Department of Health Services

Obtain a Certificate in Person

• Same day service is not available for certified copies of certificates of birth resulting in stillbirth. Applications will be accepted and the certified copies will be mailed to the applicant. There is no pick-up service.
• The office is open from 8:00 AM until 5:00 PM. If you are planning to go there in the afternoon, make sure you arrive before 4:00 PM.
• Bring all necessary documents you will need to present or submit in order to obtain the certificate.
• Appropriate fee. Acceptable payment methods are: cash, traveler's checks, cashier's checks, money orders, Visa, or MasterCard. Cashier's checks and money orders must be for the exact amount and made payable to Office of Vital Records.

Apply by Mail

1. Complete the Application Form.
2. Along with your application, you will also need to send a copy of the front and back of your valid government-issued picture identification which bears your signature or have your signature notarized.
3. Do not forget to include your payment when you send your application. Acceptable payment methods are: cashier's checks, money orders, Visa, or MasterCard. PLEASE DO NOT SEND CASH. Cashier's checks and money orders must be for the exact amount and made payable to Office of Vital Records. If you pay by credit/debit card, you must include the full card number and expiration date on your application.

Note: An incomplete application will delay the processing of your request.

Maricopa County Office of Vital Registration

In addition to the State Office of Vital Records, you can also obtain certified copies of Fetal Death Certificate from your local county health departments.

In Person:

1. Fill out an application. Do not forget to sign your application.
2. Be ready to provide your valid, government issued photo ID with signature. You must also bring any additional documents that may be required that establish eligibility such as proof of relationship and factual documents establishing legal or other vital interest.
3. Pay the appropriate fee.

By Mail:

1. Print and fill out an application for the certified copies of the certificate you wish to order. Do not forget to sign your application.
2. Attach a clear photocopy of your valid, government issued photo ID with signature or have your signature notarized on the application form
3. Do not forget to include any additional documents that may be required that establish eligibility such as proof of relationship and factual documents establishing legal or other vital interest.
4. Make sure that you have included your payment in your application. Check the accepted form of payment, please remember, do not send cash payments through the mail.
5. Mail your signed application, copy of accepted ID, factual documents and proof of eligibility, acceptable payment type and fee with a self-addressed stamped envelope to:
   Office of Vital Registration
   PO Box 2111
   Phoenix AZ 85001
6. Allow 1-2 weeks for processing to receive your certified copy in the mail.

Acceptable Identification:

• Valid, Government Issued Photo ID with Signature:
• Clear copies of FRONT and BACK of ID is REQUIRED
• United States issued Drivers License or Identification Card
• United States Territories Drivers License or Identification Card
• United States Military Identification Card that contains bearer's signature (some do not)
• Tribal Identification that contains bearer's signature
• Passports United States or Foreign issued
• Visa In a passport and the bearer's signature is on the passport not the Visa
• Permanent Resident Card issued on or after May 11, 2010 which includes a signature
• Resident Alien Card (Form I-551)
• Employment Authorized Card (Forms I-766, I-688A or I-668B)
• Temporary Resident Card (I-688)

Note: Expired, cracked, broken, taped or faded identification documents will not be accepted.

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Required Documents

For those applying in person:

• A valid government-issued picture identification which bears your signature. Note: If you are not the parent named on the certificate, you must also bring proof of eligibility.
• Appropriate fee. Acceptable payment methods are: cash, traveler's checks, cashier's checks, money orders, Visa, or MasterCard. Cashier's checks and money orders must be for the exact amount and made payable to Office of Vital Records.

For those applying by mail:

• A completed Application for Certified Copy of Death Certificate
• A copy of your valid government-issued picture identification which bears your signature. Note: If you are not the parent named on the certificate, you must also bring proof of eligibility.
• Appropriate fee, according to the fee schedule. Acceptable payment methods are: cashier's checks, money orders, Visa, or MasterCard. PLEASE DO NOT SEND CASH. Cashier's checks and money orders must be for the exact amount and made payable to Office of Vital Records. If you pay by credit/debit card, you must include the full card number and expiration date on your application.

Office Locations & Contacts

Arizona Department of Health Services
150 North 18th Avenue
Phoenix, Arizona 85007

General and Public Information:
Phone: (602) 542-1025
Fax: (602) 542-0883

Vital Records:
1818 West Adams
Phoenix, Arizona 85007
Phone: (602) 364-1300
Toll Free: (888) 816-5907

Mailing Address:
P.O. Box 3887
Phoenix, AZ 85030

Website

Eligibility

In Arizona, a parent or a person authorized by a parent may apply for a certified copy of Stillbirth Certificates. If the individual making the application is not a parent, then the person authorized by a parent must provide a letter permitting the named party to apply on their behalf.

Fees

State Office of Vital Records - Death Record Fee

• Death Certificate: $20.00
• Fetal Death Certificate: $20.00
• Certificate of Birth Resulting in Stillbirth: $20.00
• Presumptive Death Certificate: $20.00
• Delayed Death Certificate: $20.00
• Delayed Fetal Death Certificate: $20.00
• Delayed Certificate of Birth Resulting in Stillbirth: $20.00
• Amendment/Correction on a Death Certificate: $30.00
• Amendment/Correction on a Fetal Death Certificate: $30.00

Maricopa County Office of Vital Registration Fees

• Per certified copy: $20.00
• For corrections: $30.00. Fee includes the corrected certified copy
• Non certified copy for Govt Agency use only: $5.00

Accepted Forms of Payment: MasterCard and Visa, Money Order, Cashiers Check, Cash is only accepted in person

Validity

Explain the time until which the certificate/document is valid.
e.g. Birth Certificate Valid Forever

Documents to Use

Arizona Department of Health Services

• Application for Certified Copy of Death Certificate

Maricopa County Office of Vital Registration

• Applications for Certified Copies of Arizona Certificates of Birth Resulting in Stillbirth and Fetal Death - Mail In - English Spanish
• Applications for Certified Copies of Arizona Certificates of Birth Resulting in Stillbirth and Fetal Death In Person Application - English Spanish

Sample Documents

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Processing Time

Arizona Department of Health Services

• Same day service is not available for certified copies of certificates of birth resulting in stillbirth. Applications will be accepted and the certified copies will be mailed to the applicant. There is no pick-up service.
• For applications sent by mail: It takes about 15 to 20 business days from the date your application is received by Vital Records for it to be processed.
• If necessary, you can also request expedited service.

Maricopa County Vital Registration Office

• For applications sent by post: Allow 1-2 weeks for processing to receive your certified copy in the mail.

Related Videos

Videos explaining the procedure or to fill the applications.

Instructions

In addition to the State Office of Vital Records, you can also obtain certified copies of certificates from your local county health departments.

Maricopa County Vital Registration Office issues certified copies of Arizona vital events: Births Resulting in Stillbirth and Fetal Death that have occurred since January 1, 2013 to the present.

Required Information

• Name on Certificate
• Date of Delivery
• Place of Delivery
• Mothers Maiden Name
• County
• Funeral Home (if applicable)
• Applicants Full Name
• Mailing Address
• Daytime Telephone Number
• Email Address
• Purpose of request

Need for the Document

Following are procedures on how to obtain a certificate of birth resulting in stillbirth in Arizona.

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Other uses of the Document/Certificate

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e.g. Birth Certificate can be used as proof of identity.

External Links

• Arizona Department of Health Services

http://azdhs.gov/vital-records/death-certificate/stillbirth-fetal.htm

• Maricopa County Department of Public Health:

http://www.maricopa.gov/publichealth/programs/vitals/fetaldeath.aspx

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