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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SFN61643
for the current year.
Form SFN61643 Request for Certified Copy of a Fetal Death Record - North Dakota
What Is Form SFN61643?
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form SFN61643?
A: Form SFN61643 is a request form for a certified copy of a fetal death record in North Dakota.
Q: What is a fetal death record?
A: A fetal death record is an official document that records the occurrence of a fetal death.
Q: Who can request a certified copy of a fetal death record?
A: Parents of the fetus or individuals with a direct and tangible interest in the record can request a certified copy of a fetal death record.
Q: What information is required to complete Form SFN61643?
A: To complete Form SFN61643, you will need to provide details such as the name of the fetus, date of birth, place of death, and the names of the parents.
Q: Is there a fee for requesting a certified copy of a fetal death record?
A: Yes, there is a fee associated with requesting a certified copy of a fetal death record. The fee amount may vary.
Form Details:
- Released on October 1, 2021;
- The latest edition provided by the North Dakota Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SFN61643 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
Download Form SFN61643 Request for Certified Copy of a Fetal Death Record - North Dakota
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