Maryland Application for Certified Copy of Fetal Death Record
Official state formStillbirth and pregnancy lossFree downloadLast verified November 10, 2026
Mail-in application for a certified copy of a Maryland fetal death record. It goes to the Division of Vital Records.
Who can use this form
- A parent named on the certificate
- A representative with a notarized letter signed by a parent
- A person with a court order directing that the certificate be issued
What to send with it
- Completed and signed application
- Legible copy of a valid government-issued photo ID, or two other documents showing your name and current address
- Check or money order payable to the Division of Vital Records
- Self-addressed, stamped envelope
Where to send it
- Mail to
- Division of Vital Records P.O. Box 68760 Baltimore, Maryland 21215-0036
- State fee
- $12 per copy, non-refundable. No fee for a copy for a child of a current or former armed forces member when it is used for a dependent or beneficiary claim, with proof of service.
- Typical processing
- About 6 weeks for mail orders, according to the office's processing times page
- Form revision
- Rev. 10/21
- Source
- Official government page