Connecticut Application for Stillbirth Certificate (VS-7)
Official state formStillbirth and pregnancy lossForm VS-7Free downloadLast verified November 10, 2026
A parent's application to the State Registrar of Vital Records for a Certificate of Stillbirth. It is a commemorative document for a stillbirth of at least twenty weeks gestation and cannot be used to prove identity or for any other legal purpose.
Who can use this form
- Only the parent of the stillborn can file the application and get a copy.
- The certificate is for a stillborn fetus that reached at least twenty weeks gestation and died before birth.
- The application is signed by the mother, the father or both.
What to send with it
- The completed and signed application.
- A copy of the parent's valid government issued photo identification.
- $30.00 per copy by money order payable to "Treasurer, State of CT". Personal checks are not accepted.
Where to send it
- Mail to
- State Registrar of Vital Records Department of Public Health Vital Records-MS#11VRS 410 Capitol Avenue 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
- 6/05;10/1/09
- Source
- Official government page