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Washington State Death Certificate Worksheet 1. Legal Name (Include AKA s if any) First Middle LAST Suffix 2. Death Date(MM/DD/YYY) 6. County of Death 3. Sex (M/F) 4a. Age-Last Birthday 4b. Under
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How to fill out washington state death certificate form

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How to fill out WA Death Certificate Worksheet

01
Obtain a copy of the WA Death Certificate Worksheet from the Washington State Department of Health website or your local health department.
02
Fill out the decedent's personal information, including their full name, date of birth, date of death, and place of death.
03
Provide the information about the informant, which can be a relative or an authorized person who can provide details about the deceased.
04
Complete the medical information section by including the cause of death, contributing factors, and the name of the certifying physician.
05
Review the document for accuracy before submitting it to ensure that all necessary fields are filled out correctly.
06
Submit the worksheet along with any required fees to the appropriate county office of vital records.

Who needs WA Death Certificate Worksheet?

01
The WA Death Certificate Worksheet is needed by anyone who is responsible for reporting a death, including family members, funeral directors, or legal representatives of the deceased.
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The informant is the person who gave death certificate information to the funeral home for the person who died. You may request a death record amendment within a year of the date of death without providing supporting documents.
After completing the autopsy, the Medical Examiner files a death certificate with the Washington Department of Health indicating the cause and manner of death.
Long form death certificates serve as official documents printed on certified security paper and used for legal purposes. It contains cause and manner of death information and social security number of the deceased person.
To obtain death records in Washington, interested parties must contact the Center for Health Statistics - Department of Health (DOH) or the local health department of the county where the death occurred.
Are Death Certificates Public in Washington? Yes, Washington State is an open record state.
The State of Washington is an open record state. Anyone may order copies of Washington death certificates, as long as they can provide the required information. If you do not want to order the death record, search other records with death information.
The State of Washington is an open record state. Anyone may order copies of Washington death certificates, as long as they can provide the required information. If you do not want to order the death record, search other records with death information.

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The WA Death Certificate Worksheet is a document used in Washington State to collect necessary information for the preparation of a death certificate.
The WA Death Certificate Worksheet is typically filed by the attending physician, funeral director, or other authorized individuals who are responsible for certifying the death.
To fill out the WA Death Certificate Worksheet, you should gather all required information about the deceased, including personal details, cause of death, and relevant medical history, and then accurately complete each section of the worksheet as instructed.
The purpose of the WA Death Certificate Worksheet is to ensure accurate data collection regarding the death of an individual, which helps in the official recording and documentation of deaths in the state.
The information that must be reported includes the deceased's full name, date of birth, date of death, gender, race, marital status, place of death, cause of death, and information about the informant.
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