R9-19-317

R9-19-317. Obtaining a Certificate of Fetal Death Registration or a Certificate of Birth Resulting in Stillbirth

Last amended: 2016Length: 444 wordsOfficial source

Cite as Ariz. Admin. Code § R9-19-317

A. A certificate of fetal death registration contains, as available, the information specified in R9-19-305(B)(1). B. A certificate of birth resulting in stillbirth contains, as available, the information specified in R9-19-305(B)(1)(a) through (k) and (n). C. A parent of a fetus or a person who is of legal age and who is authorized by a parent of the fetus may request a certified or noncertified copy of a certificate of fetal death registration for the fetus by submitting to the State Registrar or a local registrar: 1. A written request, in a Department-provided format, that includes: a. The name and mailing address of the person submitting the request; b. Contact information for the person submitting the request, which includes a telephone number or an e-mail address; c. Whether the person submitting the request is a parent of a fetus or a person authorized by a parent of the fetus; d. The following information: i. The name of the mother in the registered fetal death record, and ii. The date of delivery; e. If known, the: i. State file number, ii. Town or city of the fetal death, and iii. County of the fetal death; f. If the person submitting the request is a parent of the fetus, whether the person would like to receive a certified copy of a certificate of birth resulting in stillbirth for the fetus; g. The number being requested of: i. Certified copies of a certificate of fetal death registration, ii. Noncertified copies of a certificate of fetal death registration, and iii. Certified copies of a certificate of birth resulting in stillbirth; and h. The dated signature of the person submitting the request, either: i. With the person’s signature notarized; or ii. Accompanied by a copy of a valid, government-issued form of photo identification for the person that contains the name and signature of the person; 2. For a parent whose name is not included in the registered fetal death record, documentation demonstrating that the person submitting the request is a parent of the fetus; 3. For a person authorized by a parent of the fetus to receive a certified or noncertified copy of the certificate of fetal death registration for the fetus: a. Documentation demonstrating that the person submitting the request is authorized to receive a certified or noncertified copy of a certificate of fetal death registration for the fetus; and b. Documentation demonstrating that the individual authorizing the person submitting the request to receive a certified or noncertified copy of a certificate of fetal death registration for the fetus is a parent of the fetus; and 4. The applicable fee in R9-19-105 for each certificate of being requested.
R9-19-317: R9-19-317. Obtaining a Certificate of Fetal Death Registration or a Certificate of Birth Resulting in Stillbirth | Justis AI