Ariz. Admin. Code § R9-19-317 - Obtaining a Certificate of Fetal Death Registration or a Certificate of Birth Resulting in Stillbirth

A. A certificate of fetal death registration contains, as available, the information specified in R9-19-305(B)(1).

B. A certificate of birth resulting in stillbirth contains, as available, the information specified in R9-19-305(B)(1)(a) through (k) and (n).

C. A parent of a fetus or a person who is of legal age and who is authorized by a parent of the fetus may request a certified or noncertified copy of a certificate of fetal death registration for the fetus by submitting to the State Registrar or a local registrar:

1. A written request, in a Department-provided format, that includes:

a. The name and mailing address of the person submitting the request;

b. Contact information for the person submitting the request, which includes a telephone number or an e-mail address;

c. Whether the person submitting the request is a parent of a fetus or a person authorized by a parent of the fetus;

d. The following information:

i. The name of the mother in the registered fetal death record, and

ii. The date of delivery;

e. If known, the:

i. State file number,

ii. Town or city of the fetal death, and

iii. County of the fetal death;

f. If the person submitting the request is a parent of the fetus, whether the person would like to receive a certified copy of a certificate of birth resulting in stillbirth for the fetus;

g. The number being requested of:

i. Certified copies of a certificate of fetal death registration,

ii. Noncertified copies of a certificate of fetal death registration, and

iii. Certified copies of a certificate of birth resulting in stillbirth; and

h. The dated signature of the person submitting the request, either:

i. With the person's signature notarized; or

ii. Accompanied by a copy of a valid, government-issued form of photo identification for the person that contains the name and signature of the person;

2. For a parent whose name is not included in the registered fetal death record, documentation demonstrating that the person submitting the request is a parent of the fetus;

3. For a person authorized by a parent of the fetus to receive a certified or noncertified copy of the certificate of fetal death registration for the fetus:

a. Documentation demonstrating that the person submitting the request is authorized to receive a certified or non-certified copy of a certificate of fetal death registration for the fetus; and

b. Documentation demonstrating that the individual authorizing the person submitting the request to receive a certified or noncertified copy of a certificate of fetal death registration for the fetus is a parent of the fetus; and

4. The applicable fee in R9-19-105 for each certificate of being requested.

Notes

Ariz. Admin. Code § R9-19-317

Former Section R9-19-317 renumbered as Section R9-19-321, former Section R9-19-313 renumbered as Section R9-19-317 effective February 20, 1980 (Supp. 80-1). Former Section R9-19-317 renumbered to R9-19-319, new Section R9-19-317 renumbered from Section R9-19-315 and amended effective July 31, 1989 (Supp. 89-3). Section repealed by final rulemaking at 12 A.A.R. 4387, effective January 6, 2007 (Supp. 06-4). Adopted by final rulemaking at 22 A.A.R. 1783, effective 10/1/2016.