Vital Information

Most of the information in this section will be populated if First Call information was entered. The following are fields not included within the First Call.

  • Maiden Name – If applicable.
  • Race
  • Of Hispanic Origin
  • Video Link – Enter the URL of a third party company used for video tributes. (There is no option to upload a video directly into this system.)
  • Social Insurance Number/Social Security Number
  • Religious Denomination

Residence Information

  • Copy Address From – Use the dropdown to pull the same address information from another source.
  • Country, State/Province, and City – if the city is not contained in the dropdown list, ‘Add.’ A pop-up window will appear. To learn how to add a city, please refer to the Databases.
  • Address, Apt/Unit, Zip/Postal Code
  • County
  • Length of Residence – In years

Birth & Death Information

  • Place of Birth (Facility)
  • Country of Birth, State/Province of Birth, City of Birth – if the city is not contained in the dropdown list, ‘Add.’ A pop-up window will appear. To learn how to add a city, please refer to the Databases.
  • Date of Birth, Date of Death, and Time of Death
  • Age at Death Years – The age will automatically populate once the date of birth and date of death have been entered.
  • Age Less Than a year
  • Hospital Code
  • Birth Certificate Number and Birth Certificate Issuer
  • Death Occurred at Hospital – If applicable, select hospital department

Next of Kin

These fields will be populated if information was entered in the First Call fields.

← First Call Consultation →

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