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Case 1:15cv00871SHS Document 4321 Filed 03/13/23-Page 1 of 50EXHIBIT 1Case 1:15cv00871SHS Document 4321 Filed 03/13/23-Page 2 of 50 EXECUTION VERSION UNITED STATES DISTRICT COURT FOR THE SOUTHERN
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How to fill out certificate of death penalty

01
Obtain the necessary forms from the appropriate authorities or download them from the official website.
02
Fill in the personal details of the deceased, including their full name, date of birth, and social security number.
03
Provide information about the cause of death, including any underlying health conditions or external factors that contributed to the death.
04
Include the date, time, and location of death.
05
If applicable, state whether an autopsy was performed and include the findings.
06
Sign and date the certificate, and ensure that any required witnesses also sign.
07
Submit the completed certificate to the relevant government agency or office for processing.

Who needs certificate of death penalty?

01
Death penalty certificates are typically required by various government institutions, including law enforcement agencies, correctional facilities, and courts.
02
They may be needed for record-keeping purposes, statistical analysis, or to establish the cause and circumstances of death for legal proceedings.
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A certificate of death penalty is an official document that confirms the execution of a death sentence, indicating that the condemned individual has been put to death.
The certificate of death penalty is usually filed by the official responsible for carrying out the execution, such as the prison warden or the designated executioner.
To fill out a certificate of death penalty, the responsible party must provide details such as the name of the condemned individual, date and time of execution, method of execution, and signatures of witnesses and officials present.
The purpose of the certificate of death penalty is to provide an official record of the execution, which may be used for legal, administrative, and historical purposes.
The information that must be reported includes the condemned person's full name, the crime they were convicted of, the date and time of execution, the method of execution, and the signatures of those who witnessed the execution.
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