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DEPARTMENT OF HEALTH SERVICES Division of Public Health F05280 (Rev. 05/2018)STATE OF WISCONSIN Wis. Stat. 69.21-Page 1 of 2WISCONSIN DEATH CERTIFICATE APPLICATIONTYPE or PRINT.(for Mail or Unperson

How to fill out extended fact of death

How to fill out extended fact of death

1. To fill out an extended fact of death form, follow these steps:
2. Obtain the extended fact of death form from the relevant government authorities or funeral home.
3. Gather all necessary information about the deceased, such as their full name, date of birth, and Social Security number.
4. Provide details about the cause and manner of death, including the date, time, and location.
5. Include any additional information requested on the form, such as medical history or family details.
6. Review the completed form for accuracy and completeness.
7. Sign the form and ensure it is signed by any other required individuals, such as a physician or coroner.
8. Submit the completed form to the designated authority or agency within the specified time frame.
9. Keep a copy of the filled-out form for your records.

Who needs extended fact of death?

1. An extended fact of death form is typically required by various entities, including:
2. - Legal professionals involved in estate planning or administration
3. - Insurance companies for processing life insurance claims
4. - Government agencies responsible for issuing death certificates
5. - Executors or administrators of the deceased's estate
6. - Funeral homes or crematoriums for arranging burial or cremation

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What is extended fact of death?

Extended fact of death is a form that provides additional information about a deceased individual beyond the basic death certificate.

Who is required to file extended fact of death?

The next of kin or legal representative of the deceased individual is typically required to file the extended fact of death.

How to fill out extended fact of death?

The extended fact of death form can usually be obtained from the vital records office or department of health. It must be completed with detailed information about the deceased individual.

What is the purpose of extended fact of death?

The purpose of the extended fact of death is to collect additional data that may be useful for public health research, statistical analysis, and other purposes.

What information must be reported on extended fact of death?

Information such as medical history, cause of death, circumstances surrounding the death, and other relevant details may be required to be reported on the extended fact of death.