Maryland Application for Certificate of Birth Resulting in Stillbirth
Official state formStillbirth and pregnancy lossFree downloadLast verified November 10, 2026
Application for a Certificate of Birth Resulting in Stillbirth, issued to the parents of a stillborn child whose fetal death was registered in Maryland. It goes to the Division of Vital Records.
Who can use this form
- The parent or parents of the stillborn child
- The requesting parent must be named on the registered fetal death certificate
What to send with it
- Completed application signed by a parent
- Check or money order for $12.00 per copy, payable to the Division of Vital Records
- Copy of a valid government-issued photo ID, or two of the other documents listed on the form
- The application page prints the P.O. Box address; the instruction page prints 6764-B Reisterstown Road, Baltimore, Maryland 21215
Where to send it
- Mail to
- Division of Vital Records P.O. Box 68760 Baltimore, MD 21215-0036
- State fee
- $12.00 per certified copy
- Typical processing
- The form says requests are fulfilled within 30 days of receipt
- Source
- Official government page