Montana Certificate of Birth Resulting in a Stillbirth Application
Official state formStillbirth and pregnancy lossFree downloadLast verified November 10, 2026
Explains how parents can have a Certificate of Birth Resulting in a Stillbirth created (20 or more weeks of gestation) and lets a listed parent order certified copies from Montana Vital Records.
Who can use this form
- Only the parents listed on the Certificate of Birth Resulting in a Stillbirth
- This means the mother, or the person listed as the father
What to send with it
- The completed application (page 3 of the PDF)
- An enlarged, legible photocopy of both sides of a valid photo ID with signature, or have the application notarized
- The fee payable to Montana Vital Records
Where to send it
- Mail to
- Montana Vital Records 111 N Sanders Rm 6 / PO Box 4210 Helena, Montana 59604-4210
- State fee
- The form prints $12.00 (non-refundable) per certified copy, but the form dates from 2021 and appears outdated. The office's fee schedule effective September 21, 2024 lists certified certificates at $16 and does not list stillbirth certificates separately.
- Typical processing
- Not provided
- Source
- Official government page