Reply #28: " Certificate of Birth Resulting in Stillbirth" (CBRS).-Tx has this form.

[rodeodance]

http://www.dshs.state.tx.us/vs/field/stillbirth.shtm

Certificate of Birth Resulting in Stillbirth

Parents of a stillborn child may order a Certificate of Birth Resulting in Stillbirth (CBRS). If the child was of a gestational age of no less than 20 weeks, parents may request a CBRS from the Texas Vital Statistics by submitting an application and a $9.00 fee (tentatively this fee will be $20.00 beginning December 1, 2005).

When a Certificate of Birth Resulting in Stillbirth is requested, Texas Vital Statistics will issue a certificate with the name, date of delivery, city and county in which the event took place, and parent or parents’ names. This information can only be taken from the state fetal death record on file in the Texas Vital Statistics office. The Certificate of Birth Resulting in Stillbirth can not be used as proof of live birth.

To request a Certificate of Birth Resulting in Stillborn, complete the downloadable form and return it along with a photocopy of valid photo identification and a check or money order made payable to the Department of State Health Services at: