Apply for Recognition of Early Pregnancy Loss

Introduction

You can commemorate an early pregnancy loss with a Recognition of Early Pregnancy Loss certificate.

This is not a legal document, but can be used to memorialise a loss that occurred before 20 weeks, or if weeks are unknown, a baby that weighed less than 400 grams. 

Eligibility

You're eligible if your loss took place:

• in NSW, and
• before 20 weeks, or if weeks are unknown, the baby weighed less than 400 grams. 

What you need

• your personal and contact details
• a declaration completed by the treating medical practitioner or midwife.

Registry of Births Deaths & Marriages understands that due to the circumstances of the pregnancy loss, you may not be able to provide all the details on the application form. 

How to apply

1. Check you meet the eligibility requirements.
2. Download, print and complete the application form – Recognition of early pregnancy loss – PDF.
3. Ask your treating medical practitioner or midwife to complete the health professional’s declaration section of the application.
4. Send your completed application to the contact details listed on the form or lodge your application at a Service NSW Centre.

More information

• The Recognition of Early Pregnancy Loss application and certificate is free.
• There is no time limit on when you can apply after your loss.
• You need to have supporting documentation from your treating medical practitioner or midwife.
• Processing times commence when applications are received in full compliance with Registry requirements, and exclude delivery time.