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Early-Term Stillbirth Filing / Registration

Utah law allows for the registration of early-term stillbirth deliveries for pregnancies between 16 – 19 weeks gestation as calculated from date of last normal menses period to the date of delivery. The request form requires the Utah licensed physician who attended the delivery to sign. Follow instructions provided on the application, and along with picture ID and the required fee, mail the form into the Office of Vital Records and Statistics. Please contact the birth registration team at or call 801-538-6371 to obtain further information.

  1. Complete the form for an Early-term Stillbirth certificate.
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