Get an early pregnancy loss certificate
Part of the Miscarriage, stillbirth and loss topic
You can recognise your loss with a commemorative certificate in Queensland. Apply to the Registry of Births, Deaths and Marriages.
On this page
In short
You can use this service to:
- recognise an early pregnancy loss.
You must submit your completed application by post or in person.
What you should know
When you apply for a certificate, you need to:
- have the treating medical practitioner or midwife sign the application form
- choose a design
- decide what information you provide for the certificate.
Who can use this service
| You can get an early pregnancy loss certificate if: |
|---|
| Correct.you experienced the loss of your baby—delivered before 20 weeks' gestation and weighed less than 400g in Queensland. |
| Correct.you are the parent who experienced the loss. |
| Don’t use this service if: |
|---|
| Incorrect. your baby was born after 20 weeks or weighed more than 400g Instead, register your child's birth. |
How to apply for an early pregnancy loss certificate
Choose how to submit and follow the steps.
Step 1: Choose an application form
Online form
Complete the online form, then print.
PDF form
Download, print and complete the form by hand.
Step 2: Get a health professional's signature
Have your treating medical practitioner or midwife sign the declaration section on the form.
Step 3: Submit your application
Post to
Registry of Births Deaths and Marriages
PO Box 15188
CITY EAST QLD 4002
Include your:
- completed application form.
Step 4: Receive the certificate
Once your application is approved we will post the certificate to you.
Your application may not be approved if you:
- don't meet the rules
- don't include the right documents.
Step 1: Choose an application form
Online form
Complete the online form, then print.
PDF form
Download, print and complete the form by hand.
Step 2: Get a health professional's signature
Have your treating medical practitioner or midwife sign the declaration section on the form.
Step 3: Submit your application
Submit your application in person at:
Brisbane registry customer service centre
Level 32, 180 Ann Street, Brisbane
Opening hours: Monday to Friday, 8.30am–4.30pm.
Closed public holidays.
Bring with you:
- completed application form.
Step 4: Receive the certificate
Once your application is approved we will post the certificate to you.
Your application may not be approved if you:
- don't meet the rules
- don't include the right documents.
How long it takes
Processing times start when an application with all required documents has been received.
Standard application: up to 10 business days
Urgent application: not available
Allow extra time for public holidays and postage.
How much it costs
Free
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Managed by: Registry of Births, Deaths and Marriages