Mail the following items to CDPH-VR: 2026

1. Click ‘Get Form’ to open the application in the editor.
2. Begin by completing the Applicant Information section. Ensure you provide your name, mailing address, and contact details accurately.
3. In the Fetal Death Information section, fill in all available details about the fetal death record, including names and dates. This information is crucial for locating the record.
4. Indicate the number of copies you wish to request and calculate the total fee. Remember, each copy costs $18, payable via check or money order.
5. Check the CNPR box if you need documentation that a record does not exist. This will ensure your request is processed correctly.
6. Once completed, download your form and mail it along with payment to California Department of Public Health at the provided address.

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