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14. DECEDENT III - Enter the decedents Marital status at time of death. If the decedents marital status is
Widowed (and not remarried), the spouses name fields will not allow data entry.
15. Enter the names of the decedents father and mother.
16. Choose whether the informant is an individual or an entity. The fields available for data entry are dependent
on this choice.
17. If the informants address is the same as decedents address, click Same as decedent.
18. If the informant has a different address, complete the address fields as in 6b and 6c above.
19. Click Continue.
Enter a death record (FH) Funeral Directors and Funeral Home Staff Jan-14
20. PLACE OF DEATH - Choose the Type of place of death from the drop-down menu.
a. If the place of death was hospital, hospice, nursing home or long term facility, click the drop-down
menu to select the Facility name from the list. The remaining fields will auto populate.
21. Click Continue.
25. MEDICAL CERTIFIER - Select Yes or No to respond to the following question: Could the manner of this death
be Accident, Homicide, Suicide, or is this Death pending investigation or will the Cause of Death be
provided by Coroner/ME?
CAUTION: Once the response has been selected there is no possibility of returning to the question.
a. If the response was Yes, click the drop-down menu to the right of License number * (where it
reads Not in physician list). Select the appropriate medical examiner. The fields will auto populate
with the medical examiners information.
b. If the response was No, use one of the search boxes to find the medical certifier. Click Search.
MR&C will display the results of the search in the License number * drop-down. Click the down
arrow and select the physician. The fields will auto populate with the physicians information.
26. Click Save, then click Finalize fact of death.