Georgia Application for Certificate of Birth Resulting in Stillbirth or Fetal Death
Official state formStillbirth and pregnancy lossFree downloadLast verified November 10, 2026
Application for a Certificate of Birth Resulting in Stillbirth (20 or more completed weeks) or a certified copy of a Fetal Death Certificate. Only the State Office of Vital Records issues the stillbirth certificate.
Who can use this form
- Certificate of Birth Resulting in Stillbirth: a parent named on the certificate, or a person with a court order
- Fetal death certificate: a child, parent, living spouse or next of kin, or the legal representative of an eligible family member
What to send with it
- Completed application
- Copy of the applicant's photo identification
- Money order or certified check payable to the State Office of Vital Records. No cash and no personal checks
- Court order, if it applies
Where to send it
- Mail to
- State Office of Vital Records 1680 Phoenix Blvd., Suite 100 Atlanta, GA 30349
- State fee
- The form prints $10.00 per certified copy; the office's fee page lists fetal death certificates at $10.00 plus $5.00 for each additional copy.
- Typical processing
- Not provided
- Form revision
- Revised 08/2026
- Source
- Official government page