Get Ut Death Record Form 2015-2025

The UT Death Record Form is an essential document for reporting the death of an individual. Completing this form accurately and thoroughly aids in the proper recording of vital statistics and allows for necessary arrangements to be made following a death.

Follow the steps to fill out the UT Death Record Form online:

1. Press the ‘Get Form’ button to access the UT Death Record Form and open it in your preferred online tool.
2. In the first section, enter the decedent's legal name, including first, middle, last name, and any applicable suffix.
3. Indicate the sex of the decedent by selecting 'Male' or 'Female'.
4. Provide the exact date of death in the format of month, day, and year. If death occurred around midnight, record it as the end of the day.
5. Enter the city or town where the death occurred.
6. Specify the county where the death took place.
7. Fill in the date of birth with the exact month, day, and year.
8. Provide the social security number of the decedent.
9. If applicable, enter any aliases the decedent may have had, preceded by 'A.K.A.'.
10. Record the decedent’s age at their last birthday. For infants under one year, provide the age in months, days, or hours as necessary.
11. Document the decedent's place of birth, indicating either a U.S. state, Canadian province, or the name of the country if born elsewhere.
12. Indicate whether the decedent was ever in the U.S. Armed Forces by selecting 'Yes', 'No', or 'Unknown'.
13. Select the appropriate marital status of the deceased at the time of death.
14. If married at the time of death, enter the full name of the surviving spouse.
15. Describe the decedent’s usual occupation, avoiding terms like 'Retired'.
16. Identify the industry related to the occupation listed above.
17. Provide the street address for the decedent's residence, ensuring a PO Box is not included.
18. Enter the names of the decedent's parents as required.
19. Fill in the informant's name, their relationship to the decedent, and their mailing address.
20. Indicate the decedent’s race and education level as appropriate.
21. Document the exact time of death using the 24-hour clock format.
22. Record the date the decedent was last attended by a certifying physician.
23. Specify the place of death, noting if it occurred in a hospital or elsewhere.
24. Select the method of disposition, such as burial or cremation.
25. Provide the date and place of disposition.
26. Enter the name of the physician certifying the death, along with their contact details.
27. Indicate whether the Medical Examiner was contacted and provide any necessary details.
28. After completing all sections, review the form for accuracy, and click to save changes, download, print, or share the completed form.

Complete the UT Death Record Form online today to ensure all necessary information is accurately reported.