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PATIENT INFORMATION Male LAST NAMEFemale FIRST APT/UNIT #HOME ADDRESSMICITYDATE OF BIRTHSTATEAGESOCIAL SECURITY CUMBERSOME PHONE ZIP CODE()NICKNAMEREFERRED MARITAL STATUSOTHER FAMILY MEMBERS THAT
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Obtain the form from the Fresno County Sheriff-Coroner's office.
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Fill out the form with accurate and detailed information.
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Individuals who have experienced a death within Fresno County jurisdiction and need to report it to the Sheriff-Coroner's office.
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Law enforcement officials who are involved in investigating a death within Fresno County.
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The form Fresno County Sheriff-Coroners is a document used for reporting specific incidents or information related to coroners' cases in Fresno County, California.
Individuals or entities involved in incidents requiring coroner investigations, including funeral homes, medical professionals, and law enforcement agencies, are required to file this form.
To fill out the form, provide all required information clearly and accurately, including incident details, decedent information, and any relevant circumstances surrounding the case.
The purpose of the form is to ensure proper documentation and reporting of deaths investigated by the coroner's office, helping maintain transparency and uphold legal requirements.
The form must include details such as the decedent's name, date of birth, date of death, circumstances of death, and information about the reporting party.
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