Edit, Download, and Sign the Oklahoma Stillbirth Certificate Request Form
Form
eSign
Add Annotation
Share Form
How do I fill this out?
Filling out this form requires careful attention to detail. Ensure all mandatory fields are completed accurately for processing. Remember to attach a copy of your ID and the appropriate fees to avoid delays.

How to fill out the Oklahoma Stillbirth Certificate Request Form?
1
Complete the application form in full.
2
Attach a photocopy of a current legal photo ID.
3
Include the appropriate fees.
4
Sign the request to confirm the accuracy of your information.
5
Mail the completed application to the designated address.
Who needs the Oklahoma Stillbirth Certificate Request Form?
1
Parents of stillborn children need this form to request a certificate for legal purposes.
2
Hospitals may require this form to file necessary documentation.
3
Funeral directors need it to complete required paperwork.
4
Legal representatives may need it for estate planning or legal cases.
5
Genealogists may use it to trace family histories.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Oklahoma Stillbirth Certificate Request Form along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your Oklahoma Stillbirth Certificate Request Form online.
Editing this PDF on PrintFriendly is straightforward and user-friendly. Simply upload the file and select the elements you want to modify. After making your changes, you can save your updated version easily.

Add your legally-binding signature.
Signing the PDF on PrintFriendly is simple and efficient. Use the signature tool to draw or upload your signature directly onto the document. Once signed, you can save and download your finalized PDF.

Share your form instantly.
Sharing the PDF on PrintFriendly is easy and quick. You can send a link to the document via email or through social media platforms. Additionally, you can generate a shareable link that others can use to access the file.
How do I edit the Oklahoma Stillbirth Certificate Request Form online?
Editing this PDF on PrintFriendly is straightforward and user-friendly. Simply upload the file and select the elements you want to modify. After making your changes, you can save your updated version easily.
1
Upload the PDF file to PrintFriendly.
2
Select the text or images you wish to edit.
3
Make the necessary changes using the editing tools provided.
4
Review your edits to ensure accuracy.
5
Download the modified PDF once you're satisfied with your changes.

What are the instructions for submitting this form?
To submit the Stillbirth Certificate Request Form, ensure it is filled out completely with required documentation attached. Send the application via mail to Vital Records - OSDH, PO BOX 248964, Oklahoma City, OK 73124-8964. For questions, contact AskVR@health.ok.gov or call 405.426.8880.
What are the important dates for this form in 2024 and 2025?
The Stillbirth Certificate request form is crucial for parents in 2024 and 2025. Ensure to file your certificate within three days of delivery as per Oklahoma law to avoid complications. Keep in mind that memorial certificates will be available starting November 1, 2008.

What is the purpose of this form?
The purpose of the Oklahoma Stillbirth Certificate Request Form is to legally document the loss of a stillborn child. This certificate is important for parents, providing official recognition of their child's birth and death. It also serves for various legal, medical, and genealogical reasons for future reference and family history.

Tell me about this form and its components and fields line-by-line.

- 1. Full Name at Birth: Required name details of the child.
- 2. Date of Birth: Exact birth date of the stillborn child.
- 3. Place of Birth: City and/or county where the stillbirth occurred.
- 4. Full Name of Father: Complete name of the father.
- 5. Full Maiden Name of Mother: Mother's name prior to marriage.
- 6. Current Address: Required mailing address for correspondence.
- 7. Signature: Parental confirmation of the provided information.
- 8. Fees: Total amount enclosed for processing the application.
What happens if I fail to submit this form?
If you fail to submit this form correctly, your application may be rejected or delayed. It is essential to adhere to all instructions provided to ensure successful processing.
- Incomplete Application: Missing information can lead to a lack of processing.
- Missing Fees: Applications without the required fees will not be processed.
- Lack of Signature: Failure to sign the form means it will not be accepted.
How do I know when to use this form?

- 1. Legal Documentation: Needed to legally document the loss of the child.
- 2. Medical Records: Vital for hospitals to maintain accurate records.
- 3. Personal Records: Used by parents for personal keepsakes and memorials.
Frequently Asked Questions
What is the purpose of this form?
This form is used to request a stillbirth certificate from the Oklahoma State Department of Health.
How do I fill out this form?
Complete all required fields and provide accurate information to facilitate processing.
What fees are associated with this request?
A fee of $15 is required for each certified copy of the stillbirth certificate requested.
Where do I send the completed form?
Mail the application to Vital Records - OSDH, PO BOX 248964, Oklahoma City, OK 73124-8964.
Can I submit my application online?
Currently, applications must be submitted via mail; online submission is not available.
What identification is accepted?
Acceptable IDs include state-issued driver licenses, passports, and military IDs.
Can I get a memorial copy of the certificate?
Yes, a memorial certificate is available for $15, designed to honor the stillbirth.
What happens if I provide incorrect information?
Providing incorrect information may delay processing and could result in your application being rejected.
How long does it take to receive the certificate?
Processing times can vary; ensure all information is accurate to avoid delays.
Who can request a stillbirth certificate?
Only the parents of the stillborn child can request this certificate as per state law.
Related Documents - Stillbirth Request Form

Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.