Recognise the significance of an early pregnancy loss.
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These certificates were designed by Western Australian artist, Till Heike. Read more about Till Heike.
They're not a legal document. You can't use them for official purposes.
The design uses watercolours on birchwood. It combines a contemporary look with a classic botanical design. The artwork features a pair of helmeted honeyeaters, Victoria’s state bird. They perch among the state flower, common heath, and other native plants.
Each certificate is printed on archival quality paper and fits a standard frame size of 210mm x 297mm (8" x 12").
How to apply
To apply for an early pregnancy loss certificate:
- Fill in a Recognition of early pregnancy loss application
- Make a digital copy of a document (e.g. utility bill, bank statement) that shows your current residential address. We accept scans or digital photographs
- Email your completed form AND the document that shows your current residential address to bdmearlyloss@justice.vic.gov.au(opens in a new window).
You must send both your application and a document showing your residential address so that we can complete your application.
About Till Heike
Till Heike is a Western Australian artist and writer. She is Western Australia’s state coordinator for SANDS (miscarriage, stillbirth and newborn death support). She has been involved in pregnancy loss, stillbirth and infant death support since her daughter’s death in 2014.
Between raising her children, Till works in her home studio and runs her own website, Blue Sky & Lullaby(opens in a new window). The site focuses on bereavement and its impacts. She is a Consumer Advisory Board member for Still Aware (stillbirth prevention awareness). Her writing has been featured by Mamamia, The Daily Mail and the ABC.
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