Procedures for Completion of the Fetal Death Paternity Affidavit

In the case of an unwed mother, a fetal death paternity affidavit, as described in RSA 5-C:76, shall be required to add the father's name and information to the report of fetal death. I. The hospital or institution's designated staff shall assist the parents in the preparation of the fetal death paternity affidavit. II. When a report of fetal death is filed electronically by a New Hampshire facility and a fetal death paternity affidavit is executed, the father's information shall be entered electronically as part of the report of fetal death. The paper copy of the fetal death paternity affidavit shall be forwarded to the division. III. When a report of fetal death is filed on paper, the fetal death affidavit shall be prepared and attached to the report of fetal death that is forwarded to the division. Upon receipt of the fetal death paternity affidavit, the information concerning the father shall be added by the division to the report of fetal death. IV. The fetal death paternity affidavit form shall be retained by the division in accordance with the record retention schedule listed in RSA 5-C:96.