Minnesota Request to Change or Register a Fetal Death Record
Official state formStillbirth and pregnancy lossFree downloadLast verified November 12, 2026
Request by a parent to change a Minnesota fetal death record, or to register one more than a year after delivery. Mail it, signed before a notary, to the Minnesota Department of Health, Office of Vital Records.
Who can use this form
- Only parents named on the fetal death record may request changes.
- To register a fetal death more than one year after delivery, the form asks for an authenticated medical record.
- Not available through county vital records offices.
What to send with it
- The completed form, signed in front of a notary public.
- For late registration, an authenticated medical record showing the facts of the delivery and stillbirth.
- Payment, not cash.
Where to send it
- Mail to
- Minnesota Department of Health, Office of Vital Records Mail: PO Box 64499, St. Paul, MN 55164-0499 Courier/express delivery: 625 Robert St. N, St. Paul, MN 55155 (no vital-records counter service at this location) Fax: 866-416-1357 (credit card payments only)
- State fee
- Changing a fetal death record is $0. Registering one more than a year after delivery is $40. Optional items: a transcript $9 and the first Certificate of Birth Resulting in Stillbirth $16. As printed on the form.
- Typical processing
- Not provided
- Form revision
- 01/2025
- Source
- Official government page