Get Az Vs1 46 2020-2026

The AZ VS1 46 form is a crucial document used in the process of releasing human remains. This guide provides clear instructions to help you navigate each section of the form effectively, ensuring all necessary information is submitted accurately.

Follow the steps to complete the AZ VS1 46 form online.

1. Press the ‘Get Form’ button to access the AZ VS1 46 form and open it in the designated online editor.
2. Fill in the facility name and address, including city/town and county where the deceased person or fetus was associated.
3. Provide the full name of the deceased person or fetus, including first, middle, and last names.
4. Indicate the sex of the deceased by checking the appropriate box for either female or male.
5. Enter the date of birth of the deceased in the format MM/DD/YYYY.
6. Input the date of death, also in MM/DD/YYYY format.
7. List the social security number or medical record number of the deceased.
8. Specify the time of death or delivery in the HH:MM format, indicating AM, PM, or Military time.
9. Provide the mother's full name, including first, middle, and last names.
10. If applicable, enter the mother's maiden last name.
11. Indicate the date of delivery of the fetus in the format MM/DD/YYYY.
12. If unknown, provide the estimated gestational age in weeks or weight in grams.
13. Input the authorization details of the person authorizing the facility to release the human remains, including their full name and relationship to the deceased.
14. Provide contact information for the authorizing person, including their phone number, fax number, and email address.
15. Fill out the name and contact details of the current health care provider expected to sign the medical certification of death.
16. Complete the medical information for the deceased, providing recent diagnosis and checking any applicable conditions.
17. Check off circumstances under which notification was requested per ARS 11-593.
18. Finalize the submission by entering the full names, signatures, and dates for all required personnel involved in releasing the remains.
19. Once all fields are completed, you can save changes, download, print, or share the form as needed.

Complete your AZ VS1 46 form online today for a smoother documentation process.