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MCC14 Page 1 of 3 01/12.v3 Colorado Housing and Finance Authority www.chfainfo.com Section I. Borrower Information Borrower Name: Borrower Name: Your residence is located in a: Targeted Area Address
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MCC-14 page 1 is the Medical Certification of Cause of Death form.
Medical certifiers such as physicians, doctors, or coroners are required to file MCC-14 page 1.
To fill out MCC-14 page 1, the medical certifier must accurately document the cause of death of the deceased individual.
The purpose of MCC-14 page 1 is to provide an official record of the cause of death for statistical and public health purposes.
The medical certifier must report the immediate cause of death, underlying causes, and contributing factors on MCC-14 page 1.
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