MA Death Reporting Form free printable template

COMMONWEALTH OF MASSACHUSETTS DISABLED PERSONS PROTECTION COMMISSION DEATH REPORTING FORM Please call 1-800-426-9009 to file an oral report. This form should be returned within 48 hours of the oral

How to fill out dppc reporting form

How to fill out MA Death Reporting Form

1. Obtain the MA Death Reporting Form from the Massachusetts government website or via a local health department.
2. Fill out the deceased's personal information including name, date of birth, date of death, and social security number.
3. Provide details on the cause of death from the attending physician or medical examiner.
4. Enter information regarding the funeral home handling the arrangements.
5. Include the informant's details, who is often a family member or responsible party.
6. Review the completed form for accuracy and completeness.
7. Submit the form to the local registry of vital records and statistics or the designated office.

Who needs MA Death Reporting Form?

1. Funeral homes handling the arrangements for the deceased.
2. Family members or guardians of the deceased.
3. Medical professionals providing information about the death.
4. State or local authorities for record-keeping purposes.

People Also Ask about

What is a DPPC investigation?

Role of DPPC Adult Protective Services (APS) investigators At the onset every investigation, the most important task undertaken by the Disabled Persons Protection Commission's (DPPC) investigator is to assess the level of risk to the victim and other individuals; and then to develop a plan that ensures their safety.

How do I report disabled abuse in Massachusetts?

24 hour Hotline: 1-800-426-9009. Hotline receives calls of suspected abuse and neglect, investigation, oversight, public awareness and prevention.

What does abuse per se mean?

“Per se” means “in itself or “by itself”. Thus, if an act is categorized as illegal per se, it means that it does not require any additional proof or surrounding circumstances, such as intent or a criminal mindset. Merely committing the act would make a person liable for the violation.

What is the disabled persons hotline in Massachusetts?

Information about DPPC's Hotline Unit. The Disabled Persons Protection Commission (DPPC) operates a 24-hour Hotline to which citizens of the Commonwealth can report incidents of suspected abuse involving adults with disabilities by dialing 1-800-426-9009 or 1-888-822-0350 TTY.

What does DPPC do?

DPPC protects adults with disabilities from the abusive acts or omissions of their caregivers through investigation oversight, public awareness, and prevention.

What happens if a mandated reporter fails to report Massachusetts?

Any mandated reporter who will- fully fails to report child abuse and/or neglect that resulted in serious bodily injury or death can be punished by a fine of up to $5,000 and up to 2½ years in jail, and be reported to the person's professional licensing authority.

How do I file a DPPC in MA?

Filing a report of abuse Instances of suspected abuse or neglect must be reported immediately to the DPPC's 24-hour Hotline at 1-800-426-9009. Deaf and Hard of Hearing callers, please use Video Relay Services (VRS) or MARelay (711) to contact DPPC hotline.

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What is MA Death Reporting Form?

The MA Death Reporting Form is a document used in Massachusetts to officially report the death of an individual to the relevant authorities.

Who is required to file MA Death Reporting Form?

The MA Death Reporting Form is typically required to be filed by the funeral director or the person who assumes responsibility for the disposition of the deceased.

How to fill out MA Death Reporting Form?

To fill out the MA Death Reporting Form, the responsible party must provide specific information about the deceased, including personal details, circumstances of death, and the informant's details, ensuring all sections are completely and accurately filled.

What is the purpose of MA Death Reporting Form?

The purpose of the MA Death Reporting Form is to officially document a person's death, assist in the preparation of vital statistics, and ensure that legal protocols regarding death registration are followed.

What information must be reported on MA Death Reporting Form?

The information that must be reported on the MA Death Reporting Form includes the deceased's full name, date and place of death, sex, date of birth, social security number, marital status, and the details of the informant.