Vital Records Online
 
 
Oklahoma · Birth

Oklahoma Stillbirth Certificate Request Form

Official state formStillbirth and pregnancy lossFree downloadLast verified November 10, 2026

Parents use this form to request a certified copy of an Oklahoma stillbirth (fetal death) certificate, a memorial Certificate of Birth Resulting in a Stillbirth, or both. It is mailed to Vital Records at the Oklahoma State Department of Health.

Who can use this form

  • Only a parent of the stillborn child; by signing, the applicant states they are the parent of record
  • The memorial Certificate of Birth Resulting in a Stillbirth is available only to the parents and cannot be used as evidence of live birth or as identification
  • A parent can apply by mail or have the funeral home request the certificate on the parent's behalf

What to send with it

  • The completed request form, signed by the applicant
  • A clear photocopy of a current, valid legal photo ID: one primary photo ID or two secondary IDs from the list on the form
  • Proof of eligibility
  • Full payment by credit card, personal check or money order payable to OSDH VR; do not send cash
  • No more than five applications per envelope, with a separate payment for each application

Where to send it

Mail to
Vital Records Oklahoma State Department of Health P.O. Box 248964 Oklahoma City, OK 73124-8964
State fee
$15 for each certified copy of the stillbirth certificate and $15 for each memorial Certificate of Birth Resulting in a Stillbirth. The $15 record search fee is not refundable if no record is found.
Typical processing
Not printed on the form. The office's stillbirth registration page says approximately 7 to 10 business days.
Form revision
Oct 2026
Source
Official government page
Back to Oklahoma forms
Oklahoma Stillbirth Certificate Request Form | Oklahoma Form