In the State of California, the process of obtaining a certified copy of a fetal death record is governed by specific regulations and procedures, as outlined by the California Department of Public Health Vital Records. These records, which have been meticulously maintained since July 1, 1905, serve not only as important documents for families needing to acknowledge and document the loss of a pregnancy but also as crucial pieces of information for medical and health-related research.
The California VS 12 form is required by anyone who needs an official certified copy of a fetal death record from the California Department of Public Health. Eligible applicants include parents listed on the record, next of kin, legal representatives, licensed adoption agencies, and insurance companies. You must be an authorized person as defined by California Health and Safety Code Section 103526 to obtain a certified copy. Informational copies are available to the general public without proof of relationship.
The California VS 12 form guides applicants through the steps required to request a certified copy of a fetal death record. Applicants must provide detailed information regarding the fetal death and their own personal details to ensure accuracy and verification. A fee of $18 is required for each certified copy requested. Payment must be submitted via check or money order made payable to CDPH Vital Records. Do not send cash to minimize the risk of loss or misdirection of your payment.
Should the search for the requested record come up empty, the $18 fee is retained by the department as a search charge, and a Certificate of No Public Record is issued. This transparent policy ensures that all applicants receive an official response regardless of the outcome. If you believe a record exists but was not located, you may contact California Vital Records directly for further assistance. This procedure underscores the state's commitment to maintaining high standards of public health record-keeping and the care with which it approaches the documentation of fetal deaths.
| Question | Answer |
|---|---|
| Form Name | California Form Vs 12 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | printable blank california death certificate, california death certificate form pdf, california death certificate form, california death certificate template |