Arkansas Certificate of Birth Resulting in Stillbirth Application (VR-7b)
Official state formStillbirth and pregnancy lossForm VR-7bFree downloadLast verified November 10, 2026
Application for copies of an Arkansas Certificate of Birth Resulting in Stillbirth. It is mailed or taken in person to the Arkansas Department of Health, Vital Records Section, in Little Rock.
Who can use this form
- The form asks for the applicant's relationship to the person named on the certificate.
- The form does not print a list of who may apply.
- The person requesting the certificate signs the application.
What to send with it
- The completed application.
- A copy of the applicant's photo ID.
- A check or money order payable to the Arkansas Department of Health. Do not send cash.
Where to send it
- Mail to
- Arkansas Department of Health Vital Records Section-Slot 44 4815 West Markham Street Little Rock, AR 72205
- State fee
- $12.00 for the first copy and $10.00 for each additional copy of the same record. If no record is found, $12.00 is kept as the search charge.
- Typical processing
- The form says to allow 7 to 14 days for processing by mail.
- Form revision
- R 12/11
- Source
- Official government page