Oregon Commemorative Certificate of Stillbirth Order Form (45-13S)
Official state formStillbirth and pregnancy lossForm 45-13SFree downloadLast verified November 10, 2026
Order form for a Commemorative Certificate of Stillbirth on parchment paper. It is meant for display and is not a legal document. It is sent to Oregon Vital Records by mail or drop box.
Who can use this form
- Only the biological parents can order it
- For stillbirths that occurred on or after January 1, 1999
What to send with it
- The signed order form
- Payment by check or money order payable to OHA/Vital Records, in U.S. dollars. No cash
- A legible copy of a current, valid photo ID, or 3 alternative documents
- Proof of eligibility, if needed
Where to send it
- Mail to
- Oregon Vital Records PO Box 14050 Portland OR 97293-0050
- State fee
- $25 for each certificate.
- Typical processing
- Not provided
- Form revision
- 04/26
- Source
- Official government page