UPH Meriter Hospital Bereavement Team

• Michele Schroeder, Clinical Nurse Specialist (608) 417-6116
• Laura Ziebarth, Clinical Nurse Specialist (608) 417-7763
• Pregnancy and Infant Loss Helpline 608.417.5690

SSM Health St Mary’s Hospital

• Care Management 608.258.6561 

• Pregnancy & Infant Loss Line 608.229.7141 

SSM Health Monroe Clinic 

Sauk Prairie

• ​Bridget Dollar

https://law.justia.com/codes/wisconsin/2012/chapter-69/section-69.145/

2012 Wisconsin Statutes & Annotations
69. Collection of statistics.
69.145 Certificate of birth resulting in stillbirth.

Universal Citation: WI Stat § 69.145 (2012 through Act 45)
69.145  Certificate of birth resulting in stillbirth.
(1)  Information about preparation. If a birth that occurs in this state on or after August 1, 2004, results in a stillbirth for which a fetal death report is required under s. 69.18 (1) (e) 1., the party responsible for filing the fetal death report under s. 69.18 (1) (e) 1. shall advise the parent or parents of the stillbirth of all of the following:
(a) That they may request preparation of a certificate of birth resulting in stillbirth.
(b) That preparation of the certificate is optional.
(c) How to obtain a certified copy of the certificate if one is requested and prepared.
(2) Timely preparation and filing.
(a) If the parent or parents of the stillbirth, after being advised as provided in sub. (1), wish to have a certificate of birth resulting in stillbirth prepared, the party responsible for filing the fetal death report under s. 69.18 (1) (e) 1. shall, within 5 days after delivery of the stillbirth, prepare and file the certificate with the state registrar.
(b) If the parent or parents of the stillbirth do not wish to provide a name for the stillbirth, the person who prepares the certificate of birth resulting in stillbirth shall leave blank any reference to the name of the stillbirth.
(c) Either parent of the stillbirth or, if neither parent is available, another person with knowledge of the facts of the stillbirth shall attest to the accuracy of the personal data entered on the certificate in time to permit the filing of the certificate within 5 days after delivery.
(3) Special preparation under certain circumstances. Notwithstanding subs. (1) and (2), if a birth that occurred in this state at any time resulted in a stillbirth for which a fetal death report was required unders. 69.18 (1) (e) 1. but a certificate of birth resulting in stillbirth was not prepared under sub. (2), a parent of the stillbirth may, on or after August 1, 2004, submit to the state registrar a written request for preparation of a certificate of birth resulting in stillbirth and evidence of the facts of the stillbirth that is satisfactory to the state registrar. The state registrar shall prepare and file the certificate of birth resulting in stillbirth within 30 days after receiving satisfactory evidence of the facts of the stillbirth.
(4) General responsibilities of state registrar. The state registrar shall do all of the following:
(a) Prescribe the form of, and information to be included on, a certificate of birth resulting in stillbirth, which shall be as similar as possible to the form of and information included on a certificate of birth.
(b) Issue a certified copy of a certificate of birth resulting in stillbirth to a parent of the stillbirth that is the subject of the certificate if all of the following conditions are satisfied:
1. A certificate of birth resulting in stillbirth has been prepared and filed under sub. (2) or (3).
2. The parent requesting a certified copy of the certificate submits the request in writing.
3. The request is accompanied by the fee required under s. 69.22 (1) (cm).
History: 2003 a. 30

Hospital with CoddleCot-St Mary’s Madison WI; Meriter does not have one