Reporting Critical Data

1. Demographic information

2. reporter information

3. decedent information

4. identification information

5. next of kin information

6. death event information

7. medical information

1. date and time initial contact made

2. name and official title of the reporter

3. agency name and phone number

4. reason the death is being reported

1. complete name

2. sex

3. race

4. age

5. residence address

6. home telephone number

7. marital status

8. social security number

False

1. Visual

2. photo

3. tattoos, birth marks

1. fingerprint

2. dental

3. implanted (serialized device)

4. x- ray

5. DNA

NO

1. location, date and time pronounced dead

2. location date and time found dead (or unresponsive)

3. location, date and time last seen (or known alive)

4. location, date and time of any injury

5. who reported the information

1. recent medical complaints

2. name of physicians

3. medical conditions

4. medications prescribed

5. alcohol and drug use history

6. when did they last see an MD and why

7. family medical history