Medical Certifier Instructions for Selected Items On U.S. Standard Certificate of Death 2025

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A death certificate includes vital information on the deceased such as full name, date of birth, gender, marital status, and occupation. It also contains information such as the date, time, and location of death, as well as the cause and manner of death, if known.
The death certificate provides important information about the decedent, such as age, sex, race, date of death, his or her parents, and, if married, the name of the spouse; information on circumstances and cause of death; and final disposition.
Only certain family members may be able to obtain a death certificate when someone dies. This includes a spouse, siblings, and children. But death certificates can be requested by anyone when they become public record. In some states, death certificates are released 25 or more years after death.
U.S. STANDARD CERTIFICATE OF DEATH U.S. STANDARD CERTIFICATE OF DEATH. LOCAL FILE NO. □ Yes □ No. MARITAL STATUS AT TIME OF DEATH. □ Married □ Married, but separated □ Widowed. SURVIVING SPOUSES NAME (If wife, give name prior to first marriage) □ Inpatient □ Emergency Room/Outpatient □ Dead on Arrival.
Medical Certifier of Death This is the individual responsible for completing the medical portion of the death certificate. This includes the time, date, cause, and manner of death.
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Function Demographics and Statistics. Method of Body Disposition. Death Information. Pronouncement of Death. Date and Time of Death. Cause of Death. The Immediate Cause of Death. The Underlying Cause of Death.

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