New Jersey Request to Place on File a Certificate of Birth Resulting in Stillbirth (REG-68)
Official state formStillbirth and pregnancy lossForm REG-68Free downloadLast verified November 10, 2026
Parents' request that the State Registrar establish a Certificate of Birth Resulting in Stillbirth for an unintended fetal death in New Jersey after 20 or more weeks of gestation. Certified copies can be ordered on the same form. It is sent to the State Registrar in Trenton.
Who can use this form
- The parent or parents, who complete Section I
- Parents may file directly or through a licensed health care professional, who completes Section II
- Certificates are available for events from 1969 to the present
What to send with it
- The completed REG-68
- A photocopy of one parent's driver's license as proof of identity
- Payment, if you ask for certified copies. Do not send cash
Where to send it
- Mail to
- New Jersey Department of Health Vital Statistics and Registry PO Box 370 Trenton, NJ 08625-0370
- State fee
- $25.00 for the first certificate and $2.00 for each additional copy, if certified copies are requested. The form says to make payment payable to "State Registrar"; the office's fee page says "Treasurer, State of New Jersey".
- Typical processing
- The form says to allow 4 to 6 weeks for processing.
- Form revision
- JUL 12
- Source
- Official government page