Get Vital Statistics Worksheet

Completing the Vital Statistics Worksheet is a crucial step in the process of filing a death certificate. This guide provides clear instructions on how to fill out the form accurately and efficiently online.

Follow the steps to complete the Vital Statistics Worksheet online.

1. Click 'Get Form' button to obtain the worksheet and open it in your preferred editing tool.
2. In the first section, provide the decedent's full name, including first, middle, and last names. If applicable, include any aliases already known.
3. Enter the decedent’s birth state or foreign country, their social security number, and date of birth. Ensure this information is accurate as it will appear on the death certificate.
4. Indicate if the decedent ever served in the US Armed Forces by selecting 'Yes', 'No', or 'Unknown'.
5. Select the marital status of the decedent at the time of death from the given options: 'Never Married', 'Married', 'Divorced', 'Widowed', or 'SRDP'.
6. Fill in the decedent’s sex and their highest level of education.
7. Specify if the decedent was Latino, and if so, indicate the specific nationality.
8. Provide the decedent’s usual occupation, listing only one role that reflects their primary work throughout life.
9. Fill in the decedent’s residence details, including street number, city, county, and zip code.
10. List the decedent’s race, providing up to three classifications if necessary.
11. Indicate the kind of business or industry where the decedent primarily worked.
12. Complete the information of the person supplying the information, their relationship to the decedent, and their mailing address.
13. Enter the primary doctor’s details who will complete the death certificate.
14. Provide the names of the decedent's surviving spouse and parents, along with their birth states.
15. Indicate the final resting place of the decedent or the location of cremated remains, including full names and addresses.
16. Read and attest to the validity of the provided information by adding your signature and the date/time.
17. Finally, once the form is completed, save your changes, and choose to download, print, or share the document as needed.

Start completing the Vital Statistics Worksheet online today for a smooth filing process.