64V-1.007 Death and Fetal Death Certificate Amendments; Who May Apply; Fees; Documentary Evidence Requirements.
(1) Application to amend items shall be submitted with an Application for Amendment to Death or Fetal Death Record, DH Form 524, Jun 06, hereby incorporated by reference and available from the Florida Department of Health, State Office of Vital Statistics, P.O. Box 210, Jacksonville, Florida 32231-0042 department and except for those items requiring the signature of the attending physician or medical examiner as outlined in subsection (2) of Rule 64V-1.007, F.A.C., shall be accompanied by the amendment fee required in subsection (3) of Rule 64V-1.014, F.A.C.
(8) Amendment of any item on a fetal death certificate shall be made on an Affidavit of Amendment to Certificate of Fetal Death, DH Form 433A, Jun 06 hereby incorporated by reference and available from the Florida Department of Health, State Office of Vital Statistics, department. Such affidavit shall be signed before a notarizing official by a parent listed on the Florida Certificate of Fetal Death, DH Form 428, Jan. 06, previously incorporated by reference in Rule 64V-1.0061 F.A.C., except in the case where a father’s name is to be added to the Certificate of Fetal Death. In this case, the notarized signatures of both mother and father shall be required.
64V-1.0131 Certifications of Vital Records; Information Required for Release; Applicant Identification Requirements.
(4) Upon request of a parent listed on a Certificate of Fetal Death, the department shall create a Certificate of Birth Resulting in Stillbirth, DH Form 728A, Aug 06, hereby incorporated by reference and available from the Florida Department of Health, State Office of Vital Statistics, department. Information listed on the Certificate of Birth Resulting in Stillbirth shall originate from the Certificate of Fetal Death, DH Form 428, Jan. 06, previously incorporated by reference in Rule 64V-1.0061, F.A.C. All requests for a Certificate of Birth Resulting in Stillbirth shall be submitted on an Application for Florida Certificate of Stillbirth, DH Form 728, Aug 06, hereby incorporated by reference and available from the Florida Department of Health, State Office of Vital Statistics, department.