Early loss of pregnancy certificates

Parents can apply for a certificate to commemorate an early loss of pregnancy if the delivery isn't able to be registered under the Births, Deaths and Marriages Registration Act 1996.

  • less than 20 weeks' gestation - a letter from your doctor or midwife (doc template) needs to be included when you apply (this letter can also be used to arrange burial or cremation).
  • more than 20 weeks gestation and isn't able to be registered under the Act - your doctor will have lodged a medical certificate with Consumer and Business Services (CBS) and a letter isn't needed when you apply.

How to apply

1. Application form

Choose a certificate design, then complete and sign the form - Apply for an early loss of pregnancy certificate.

2. Lodgement

Post your application to:

Births, Deaths and Marriages
Consumer and Business Services
GPO Box 1351
Adelaide SA 5001

There is no charge for a commemorative certificate for an early loss of pregnancy.

The processing time for a certificate is normally about five weeks.

Certificate designs

You can choose either:

  • commemorative certificate only
  • standard plus a commemorative certificate.
early loss blueearly loss pink
early loss standardearly loss twin bears

Contact Births, Deaths and Marriages

Phone: 131 882

GPO Box 1351
Adelaide SA 5001

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Page last updated 5 August 2020

Provided by:
Attorney-General's Department
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