
Get the free OREGON DEATH CERTIFICATE WORKSHEET 1 11/2022
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OREGON DEATH CERTIFICATE WORKSHEET
1. Decedents full legal name, not nicknames
PrefixFirstMiddleLast name prior to first marriage(Only include if substantially different from legal name)2 ab. Date
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How to fill out oregon death certificate worksheet

How to fill out oregon death certificate worksheet
01
Obtain a copy of the Oregon death certificate worksheet form from the Oregon Health Authority website.
02
Fill out the decedent's personal information including full name, date of birth, place of birth, and social security number.
03
Provide details about the decedent's parents including their names and birthplaces.
04
Fill out information about the decedent's marital status, occupation, and education level.
05
Provide details about the decedent's military service if applicable.
06
Document the cause and manner of death, as well as any contributing factors.
07
Complete the certification section with your name, title, and contact information.
08
Review the completed form for accuracy and make sure to sign and date it before submitting.
Who needs oregon death certificate worksheet?
01
Funeral directors who are responsible for completing death certificates for deceased individuals in Oregon.
02
Medical examiners or coroners who investigate the circumstances surrounding a person's death and need to document this information accurately.
03
Family members or next of kin who may need to provide information about the deceased individual for legal or estate purposes.
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What is oregon death certificate worksheet?
The Oregon death certificate worksheet is a preliminary form used to collect the necessary information required for completing a formal death certificate in the state of Oregon.
Who is required to file oregon death certificate worksheet?
The person responsible for filing the Oregon death certificate worksheet is typically the funeral director or the attending physician who was present at the time of death.
How to fill out oregon death certificate worksheet?
To fill out the Oregon death certificate worksheet, one must provide details such as the deceased's personal information, cause of death, and other relevant medical and demographic information as instructed on the form.
What is the purpose of oregon death certificate worksheet?
The purpose of the Oregon death certificate worksheet is to ensure that all necessary information is accurately collected and organized before submitting the official death certificate.
What information must be reported on oregon death certificate worksheet?
Information that must be reported includes the deceased's full name, date and place of death, cause of death, personal information (such as date of birth and social security number), and details about the informant.
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