Formulaire

Medical Certificate of Delivery to Obtain a Deed of a Lifeless Child (Form 13773*02)

Cerfa 13773*02

To be filled in by the doctor or midwife.

You must forward to the registrar the detachable part of the form (lower part) to ask him to draw up a lifeless child's certificate.

    Fill out the form

    To whom shall I send this form ?

    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : Ministry of Health

    Verified 01 August 2024 - Directorate for Legal and Administrative Information (Prime Minister)