Texas Application for Certificate of Birth Resulting in Stillbirth (VS-301)
Official state formStillbirth and pregnancy lossForm VS-301Free downloadLast verified November 10, 2026
Order form for a Certificate of Birth Resulting in Stillbirth, which the Vital Statistics Section issues from the state fetal death record. The certificate cannot be used as proof of live birth. The form is mailed to the Vital Statistics Section.
Who can use this form
- Parents of a stillborn child
- The child must have been of a gestational age of at least 20 weeks
- The form's relationship boxes are Parent and Other
What to send with it
- The original signed application (steps 1 to 3)
- A photocopy of the applicant's valid government-issued photo ID
- The fee, by check or money order payable to DSHS - Vital Statistics
Where to send it
- Mail to
- DSHS - VSS P.O. Box 12040 Austin, TX 78711-2040 Expedited orders (overnight carrier only): DSHS - VSS MC 2096 1100 W. 49th St. Austin, TX 78756
- State fee
- $20.00 per copy. Only the form states this fee; it is not on the office's Costs and Fees page. Optional: $25.00 expedited processing; $16.00 overnight return mail or $22.95 USPS Express return mail.
- Typical processing
- The form says same day in most cases for walk-in orders, 6 to 8 weeks by mail and about 4 weeks expedited. The office's Processing Times page lists 25 to 30 business days for mail orders.
- Form revision
- REV. 1/2026
- Source
- Official government page