DH1961 BREVARD Death Application Rev 8-16 2025

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Confirming death: Identify the patient. Check for response to painful stimuli. Check if pupils are fixed, dilated and unresponsive to light. Look, listen and feel for breath sounds and respiratory effort for 2 minutes. Look, listen and feel for central pulse and heart sounds for 2 minutes.
Mail in your request for a death record to 2565 Judge Fran Jamieson Way, Viera, Florida 32940, attention DOH-Brevard Office of Vital Statistics. Please add $2.00 for shipping and handling. Include all information regarding the death and a photocopy of the applicants picture ID.
ORDER FROM FLORIDA BUREAU OF VITAL STATISTICS. The Bureau of Vital Statistics offers walk-in or mail-in services. To save time, download and complete the forms you need. The Bureau of Vital Statistics may be docHubed at (904) 359-6900, ext. 9000.
Form BI-1663 (Notification of death/still-birth) must be completed when reporting a death. The following people have to complete different sections of this form: The person reporting the death.
Notifying people and organisations There are no legal rules about who must be notified when someone dies the executor or next of kin takes on the responsibility. You can notify organisations by phone or in writing. Some organisations may require a certified copy of the death certificate.
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Generally, you will need one certified copy of the death certificate for each major asset, such as cars, land, or bank accounts, for which you will need to transfer ownership. You may also need a certified copy for items such as life insurance policies, veterans survivor benefits, and annuities.
The Death Notification Service is a free, online service that allows you to notify member organisations of the death of a family member, friend or other acquaintance.

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