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Connecticut Request for a Certified Copy of a Fetal Death Certificate

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

Mail request to the Connecticut State Vital Records Office for a certified copy of a fetal death certificate. Fetal death certificates are not open to the general public.

Who can use this form

  • A parent or grandparent.
  • An attorney-at-law representing the parent.
  • A member of an incorporated genealogical society that can do business in Connecticut.
  • The form also prints the full list of eligible parties in Conn. Gen. Stat. § 7-51.

What to send with it

  • This request form, completed and signed.
  • $30.00 per certificate by money order payable to "Treasurer, State of Connecticut". No cash and no personal checks.
  • A copy of your valid government issued photo ID or passport, or two of the other ID documents listed on the form.
  • Proof of the relationship that allows access. A parent named on the fetal death certificate does not need to send it.

Where to send it

Mail to
State of Connecticut Department of Public Health Vital Records Section, Customer Services 410 Capitol Avenue, MS #11VRS P.O. Box 340308 Hartford, CT 06134-0308
State fee
$30.00 per copy
Typical processing
The office's website says State Vital Records Office processing varies and can be up to 12 weeks. The form does not state a time.
Form revision
Fetal Death App REV 7-18
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Connecticut Request for a Certified Copy of a Fetal Death Certificate | Connecticut Form