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Request a Certificate

 
My understanding is that if you had a baby that was stillborn you don't get a certificate of birth, but your baby was still born, and had life inside of you.  I'm sure that you would like to have something that says excatly that.  If you had a miscarriage or ectopic pregnancy you get nothing to reconize the life of your little angel.  Until the laws are changed to reflect the life of your angel that you carried inside of your womb, we would like to offer you a certificate of birth  or a certificate of life.
 
Read this page to find out more about requesting a certificate from us.  Please click on any of the ceritficates below to enlarge them into a seperate window to view actual size.
 
There are laws being changed for stillbirth babies to receive a birth certificate through National Stillbirth Society.  Click the link below to read about the latest state to pass the bill for birth certificates for stillborn babies.

Sample Birth Certificate Girl Angel
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Sample Birth Certificate Boy Angel
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Sample Life Certificate Girl Angel
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Sample Life Certificate Boy Angel
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Click here to find out more about what National Stillbirth Society is doing about birth certificates for stillborn babies

If you would like to request a certificate of birth or life for you baby from our site, then just fill out the form below.  Make your selection according to your circumstance.  
 
~Stillborn
~Miscarriage
~Neonatal (Shortly Lived)
 
We would be happy to make a certificate for your little angel and email it to you.  In return, all I ask is that you please take a minute to sign our guest book.  I know my daughter Angela would really appreciate it.  Thank you.
 
 
*If you are requesting a birth certificate  you Do Not  need to fill out the parent(s) section.  Parent(s) name are not on our certificate of birth.  However you can leave your first name for emailing purposes.
 
*If you are requesting a life certificate you Must fill in the parent(s) section excatly how you want it to appear on the certificate.  The parent(s) name(s) are put on our certificate of life.
Request For Birth Certificate

Child's Name:
Angel Date: month/day/yr.
Parent(s) Name:
Your Email:
Stillborn:
Miscarriage:
Neonatal Death:
Other:
Pink
Blue
How Did You Find Our Website?
Did You Sign Our GuestBook?Yes
No
  

Request For Life Certificate

Child's Name:
Angel Date Month/Day/Yr.
Parent(s) Name:
Your Email:
Stillborn:
Miscarriage:
Neonatal Death:
Other:
Pink:
Blue:
How Did You Find Our Website?
Did You Sign Our GuestBook?Yes
No
  

You are listening to "Water Mark" Enya

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