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Infant Death Investigation Checklist - Arizona Department of Health - azdhs

Infant Death Investigation Checklist - Arizona Department of Health - azdhs 2025

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The document is an 'Infant Death Investigation Checklist' required by Arizona law for investigating deaths of children under 12 months. It includes detailed sections for recording information about the child, caregivers, circumstances of death, medical history, and scene documentation. The form aims to gather comprehensive data to assist in understanding the causes and context of infant deaths.

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Click ‘Get Form’ to open the Infant Death Investigation Checklist in the editor.
Begin by filling out the 'Child' section, including the child's name, home address, incident address, date of birth, SSN, date of death, and estimated time of death.
Proceed to the 'Mother or Caregiver #1' section. Enter their other names used, name, SSN, address, driver's license number, date of birth, states where they resided, and telephone number. Indicate if they are a smoker and provide any evidence/history of substance use.
Complete the 'Father or Caregiver #2' section similarly to the previous step. Ensure all relevant details are accurately filled out.
Continue through each caregiver's information and medical history sections. Use checkboxes for questions regarding smoking status and substance use history for convenience.
Once all sections are completed, review your entries for accuracy before saving or submitting the form via mail or fax as instructed at the bottom of each page.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

When a baby dies, is there an investigation?

The sudden unexpected death of an infant or child is one of the worst events to happen to any family. Bereaved parents expect and should receive appropriate, thorough, and sensitive investigations to identify the medical causes of such deaths. As a result, several parallel needs must be fulfilled.

What is the infant death review?

Child Death Review (CDR) is a strategy to understand the geographical variation in causes of child deaths and thereby initiating specific child health interventions. Analysis of child deaths provides information on: Medical causes. Social factors.

What are the protocols for child death investigation?

Although most conditions or diseases usually are diagnosed by the presence of specific symptoms, SIDS is a diagnosis that should be given only after all other possible causes of sudden, unexplained death have been ruled out through a careful case investigation, which includes a thorough examination of the death scene,

What do hospitals do when a baby dies?

This should be a joint visit with police and a specialist health professional, and the parents will usually be invited to be there. Where a babys death was sudden and unexpected, the death will be reported to the Coroner. This means you may not be able to arrange the funeral or register the death for some time.

Who should be notified of all suspected cases of SIDS?

In most jurisdictions, the sudden unexpected death of an infant or child requires the case to be referred to a coroner, medical examiner, or procurator fiscal.

Who investigates child deaths?

Law enforcement has sole responsibility for investigating the criminal aspects of such deaths but should also involve the appropriate licensing agency to address licensure issues and protect other children.