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Get the free Death Certificate Worksheet - Oregon.gov

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OREGON DEATH CERTIFICATE WORKSHEET 1. Decedents name Legal name, not nicknames First Middle Last AKA (Only include on death certificate if substantially different from legal name)2. Date of death
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How to fill out death certificate worksheet

01
To fill out a death certificate worksheet, follow these steps:
02
Obtain the death certificate worksheet form from the appropriate authority, such as the vital statistics office or the funeral home.
03
Gather all the necessary information about the deceased person, including their full name, date and place of birth, date and place of death, and social security number.
04
Provide details about the deceased person's parents, including their full names.
05
Fill in the section related to the deceased person's marital status, including the name of the spouse if applicable.
06
Specify the cause and manner of death, as determined by a medical professional.
07
Enter information about the deceased person's occupation and highest level of education achieved.
08
If the deceased person served in the military, indicate their branch of service and years of service.
09
Sign and date the death certificate worksheet.
10
Submit the completed death certificate worksheet to the relevant authority for processing and issuance of the official death certificate.

Who needs death certificate worksheet?

01
Various individuals and organizations may require a death certificate worksheet for different purposes, including:
02
- Funeral homes and mortuaries to facilitate funeral arrangements
03
- Vital statistics offices to register the death and issue an official death certificate
04
- Government agencies for legal and statistical purposes
05
- Insurance companies for processing insurance claims
06
- Banks for closing accounts and handling estate matters
07
- Attorneys for probate and estate planning purposes
08
- Genealogists and researchers for historical and family tree research
09
- Some employers for benefit administration
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The death certificate worksheet is a document used to collect and record information about a deceased individual.
The attending physician or medical examiner is required to file the death certificate worksheet.
The death certificate worksheet is filled out by providing information about the deceased individual, including their personal details, cause of death, and other relevant information.
The purpose of the death certificate worksheet is to officially document the details surrounding a person's death for legal and statistical purposes.
Information such as the deceased individual's name, date of birth, date of death, cause of death, and other relevant details must be reported on the death certificate worksheet.
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