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Vs 115 report 2026

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  1. Click ‘Get Form’ to open the vs 115 report in the editor.
  2. Begin by entering the legal name of the deceased as it appears on their Social Security card or birth certificate. Ensure you print in dark ink for clarity.
  3. Fill in the date of death, including month, day, and year. Next, indicate the sex of the deceased and any known aliases or maiden names.
  4. Provide the date of birth using the specified format. Enter the Social Security Number, marking 'None' or 'Not Available' if applicable.
  5. Select the place of death from the provided options and specify if it was a hospital, home, or other facility. Include facility name and address if necessary.
  6. Indicate whether this death may be due to homicide, suicide, or accident by checking the appropriate box.
  7. Complete details about who will certify this death and provide their name and address.
  8. Finally, enter your information as the person making this report, including signature or electronic verification and date of report.

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A copy of this document is to accompany the body. This report contains confidential information. Date /Time Received. VS-115 Revised 9/2004 (may be duplicated).Read more

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