A. A medical certifier shall
complete and submit a medical certification of a deceased individual's death to
the local registrar of the county where the death occurred or the state
registrar as soon as possible and no more than 72 hours after the death that
includes:
1.
The name and date of birth of the deceased
individual;
2.
The name, title, address, and license number of the
medical certifier;
3.
The date the medical certifier signed the medical
certification of death;
4.
The date and time of death;
5.
Except as provided in subsection (C), the condition
leading to the immediate cause of death including the underlying cause of
death, using the standards from:
a.
For a medical certifier other than a medical
examiner, the Physicians' Handbook on Medical Certification, DHHS Publication
No. (PHS) 2003-1108, published by the Department of Health and Human Services,
Centers for Disease Control and Prevention, National Center for Health
Statistics, incorporated by reference, on file with the Department, and
including no future editions or amendments, available at
http://www.cdc.gov/nchs/data/misc/hb_cod.pdf or from the Superintendent of
Documents, U.S. Government Printing Office, P.O. Box 371954, Pittsburgh, PA
15250-7954; or
b.
For a medical examiner, the Medical Examiners' and
Coroners' Handbook on Death Registration and Fetal Death Reporting, DHHS
Publication No. (PHS) 2003-1110 published by the Department of Health and Human
Services, Centers for Disease Control and Prevention, National Center for
Health Statistics, incorporated by reference, on file with the Department, and
including no future editions or amendments, available at
http://www.cdc.gov/nchs/data/misc/hb_me.pdf or from the Superintendent of
Documents, U.S. Government Printing Office, P.O. Box 371954, Pittsburgh, PA
15250-7954;
6.
For each cause or condition listed according to
subsection (A)(5), the length of time from the onset of the cause or condition
to the time of death;
7.
Any other conditions contributing to the
death;
8.
Whether tobacco use contributed to the cause of
death;
9.
If the deceased individual was female,
whether:
a.
The deceased individual was pregnant within the last
year;
b.
The deceased individual was pregnant at the time of
death;
c.
The deceased individual was not pregnant at the time
of death, but pregnant within 42 days of death;
d.
The deceased individual was not pregnant at the time
of death, but pregnant 43 days to one year before death; or
e.
It is unknown whether the deceased individual was
pregnant within the last year;
10.
Whether an autopsy was performed on the deceased
individual; and
11. Whether the notification
required in A.R.S. §
11-593
was made.
B.
If a medical examiner determined the cause of death, in
addition to the information in subsection (A), the medical examiner shall
submit the following information as determined by the medical
examiner:
1.
If the manner of death is pending
investigation;
2.
If the manner of death is not pending investigation,
whether the death was due to:
a.
Natural causes,
b.
An accident,
c.
Suicide,
d.
Homicide, or
e.
An undetermined cause;
3.
If the death was as a result of an injury:
a.
The date and time of the injury,
b.
The type of location where the injury
occurred,
c.
The address of the location where the injury
occurred,
d.
Whether the injury occurred while the deceased
individual was working or at the deceased individual's workplace, and
e.
A description of how the injury occurred;
and
4.
If the death was caused by a transportation
accident, whether the deceased individual at the time of the transportation
accident was:
a.
The driver or operator of the transportation
vehicle,
b.
A passenger in the transportation vehicle,
c.
A pedestrian, or
d.
Involved in another activity affected by the
transportation accident.
C.
When a medical examiner cannot determine the cause of death
for the medical certification of a deceased individual's death within 72 hours
of the deceased individual's death, the medical examiner shall:
1.
Enter the word "pending" for the cause of death for
the medical certification and submit the medical certification of death as
required in subsection (A); and
2.
Upon determination of the cause of death, submit an
amendment according to
R9-19-311 that includes the cause of death, using the
standards from the Medical Examiners' and Coroners' Handbook on Death
Registration and Fetal Death Reporting, DHHS Publication No. (PHS) 2003-1110,
incorporated by reference in subsection (A)(5)(b).
D.
A medical certifier shall sign the completed medical
certification of a deceased individual's death as follows:
1.
If the medical certifier is a physician or a
registered nurse practitioner, the medical certifier shall sign a statement
attesting that, to the best of the medical certifier's knowledge, death
occurred due to the cause and manner stated.
2.
If the medical certifier is a physician or a
registered nurse practitioner who also pronounced the death of the deceased
individual, the medical certifier shall sign a statement attesting that, to the
best of the medical certifier's knowledge, death occurred at the time, date,
and place, and due to the cause and manner stated.
3.
If the medical certifier is a medical examiner or a
tribal law enforcement authority, the medical certifier shall sign a statement
attesting that, to the best of the medical certifier's knowledge, death
occurred due to the cause and manner stated.
A. Before requesting the registration of a
deceased individual's death, a responsible person or funeral director who is
responsible for the final disposition of the deceased individual's human
remains shall:
1. Obtain, in a written
format:
a. The information in
R9-19-302(A)(1)(a)
through (v) and (2)(a) through (g);
and
b. A statement attesting to the
validity of the information in
R9-19-302(A)(1)(a)
through (v) and (2)(a) through (g), signed
and dated by the person providing the information;
2. Provide, in a Department-provided format,
the information in R9-19-3 -302(A)(1)(w) through (cc); and
3. If applicable, obtain the documentation
required in
R9-19-302(A)(2)(h).
B. Except as provided in subsection (G) or
(I) or
R9-19-304, within seven days after a deceased individual's death, a responsible person or
funeral director who is responsible for the final disposition of the deceased
individual's human remains shall:
1. Submit
to the State Registrar or a local registrar or deputy local registrar of the
registration district where the death occurred, in a Department-provided
format:
a. The information specified in
R9-19-302(A)(1) and
(2), and
b. An attestation of the validity of the
submitted information and documentation in
R9-19-302(A)(1)(w) through (cc) and
(2)(h);
2. If the
information required in
R9-19-302(A)(1) and (2) is not submitted
electronically, include:
a. The written
statement in subsection (A)(1)(b), and
b. A written statement attesting to the
validity of the submitted information and documentation in
R9-19-302(A)(1)(w)
through (cc) and (2)(h), signed and dated by the responsible person or funeral
director who is responsible for the final disposition of the deceased
individual's human remains; and
3. Contact the health care provider expected
to sign the deceased individual's medical certification of death to:
a. Provide information about the deceased
individual, in a Department-provided format, to enable the health care provider
to identify the deceased individual; and
b. Inform the health care provider that the
deceased individual's death record has been established and is available for
medical certification information to be entered.
C. Except as provided in
R9-19-304, a medical certifier shall:
1. Review the
information provided according to subsection (B)(3)(a) for a deceased
individual and either verify the information is correct or make corrections to
the provided information; and
2.
Complete and submit, in a Department-provided format, to the State Registrar or
the local registrar of the county where the death occurred, as soon as possible
and no more than 72 hours after the death, a medical certification of death for
the deceased individual that includes:
a. The
information specified in
R9-19-302(A)(3) and (4) and corrections made to the
information provided according to subsection (B)(3)(a); and
b. An attestation:
i. Stating that, to the best of the medical
certifier's knowledge:
(1) The information
provided according to subsection (B)(3)(a) is correct or was corrected,
and
(2) Death occurred due to the
cause and manner stated; and
ii. If not submitted electronically, signed
and dated by the medical certifier; and
3. When specifying the conditions leading to
the immediate cause of death, including the underlying cause of death, use the
applicable standards from the Physicians' Handbook on Medical Certification,
DHHS Publication No. (PHS) 2003-1108, published by the Department of Health and
Human Services, Centers for Disease Control and Prevention, National Center for
Health Statistics, incorporated by reference, on file with the Department, and
including no future editions or amendments, available through
http://www.cdc.gov/nchs/data/misc/hb_cod.pdf
or from the Superintendent of Documents, U.S. Government Printing Office, P.O.
Box 371954, Pittsburgh, PA 15250-7954.
D. Upon receiving information submitted
according to subsections (B) or (C), the State Registrar or the local registrar
of the county where a death occurred shall:
1. If the information submitted to register
the deceased individual's death indicates that the human remains are to be
cremated and the medical certification of death was not signed by the medical
examiner, as required in A.R.S. §
11-599,
request that the medical examiner review the medical certification of the
deceased individual's death;
2. If
the information submitted to register the deceased individual's death indicates
that the deceased individual's death may have occurred under circumstances set
forth in A.R.S. §
11-593
and the medical certification of death was not signed by the medical examiner,
as required in A.R.S. §
11-594,
or a tribal law enforcement authority, as allowed by A.R.S. §
36-325(I):
a. Not register the deceased individual's
death; and
b. Request that the
medical examiner or, if applicable, tribal law enforcement authority:
i. Review the circumstances of the
individual's death to determine whether:
(1)
The medical examiner has jurisdiction according to A.R.S. §
11-593,
or
(2) The tribal law enforcement
authority has jurisdiction according to A.R.S. §
36-325(I);
ii. Notify the State Registrar or
the local registrar of the county where a death occurred of the determination;
and
iii. If applicable, complete
and sign the medical certification of the deceased individual's death according
to
R9-19-304(B); and
3. Within 72 hours, either:
a. Register the deceased individual's death;
or
b. Notify the person submitting
the information according to subsections (B) or (C), as specified in
R9-19-103(C).
E. A responsible person or representative of
a funeral establishment responsible for submitting the information in
subsection (B) to the State Registrar or a local registrar or deputy local
registrar of the registration district where a deceased individual's death
occurred shall:
1. Maintain a copy of the
document in subsection (A) for at least 10 years after the date on the
document, and
2. Provide a copy of
the document in subsection (A) to the State Registrar for review within 48
hours after the time of the State Registrar's request.
F. If a deceased individual's death occurs in
this state and is not registered within one year after the date of the deceased
individual's death, the State Registrar or a local registrar or deputy local
registrar shall establish a delayed death record for the deceased individual
and register the deceased individual's death.
G. To request the registration of a delayed
death record for a deceased individual:
1.
Except as provided in subsections (G)(2) and (3) or
R9-19-304(G), a person shall submit to the State Registrar or a local registrar or deputy
local registrar of the registration district where the death occurred:
a. A court order requiring registration of
the deceased individual's death, certified by the issuing court, and containing
the deceased individual's:
i. Name,
ii. Social Security Number,
iii. Date of birth,
iv. Date of death,
v. Cause of death, and
vi. Location of death;
b. If not included in the court order in
subsection (G)(1)(a), the information in
R9-19-302(A)(1) and
(2), as available;
c. An affidavit attesting to the validity of
the information required in subsection (G)(1)(b), signed by the person making
the request; and
d. The fee in
R9-19-105 for
requesting to establish a delayed death record and register the deceased
individual's death;
2. A
medical certifier shall submit, in a Department-provided format, to the State
Registrar or a local registrar or deputy local registrar of the registration
district where the death occurred:
a. The
information specified in
R9-19-302(A)(1) and (2);
b. A medical certification of the deceased
individual's death, completed as required in subsection (C); and
c. A description of the circumstances causing
the delay; and
3. A
responsible person shall submit, in a Department-provided format, to the State
Registrar or a local registrar or deputy local registrar of the registration
district where the death occurred:
a. The
information specified in
R9-19-302(A)(1) and (2);
b. A medical certification of the deceased
individual's death, completed as required in subsection (C);
c. A description of the circumstances causing
the delay;
d. An affidavit
attesting to the validity of the information required in subsections (G)(1)(a)
through (c), signed by the person making the request; and
e. The fee in
R9-19-105 for
requesting to establish a delayed death record and register the deceased
individual's death;
H. When the State Registrar or a local
registrar or deputy local registrar of the registration district where a death
occurred receives a request to register the death of a deceased individual
according to subsection (G), the State Registrar, local registrar, or deputy
local registrar shall review the request according to
R9-19-103.
I. To request the registration of an
individual's presumptive death under A.R.S. §
36-325(L) or
36-328,
a person requesting registration shall submit to the State Registrar:
1. A court order requiring registration of
the individual's presumptive death, certified by the issuing court, and
containing the deceased individual's:
a.
Name,
b. Social Security
Number,
c. Date of birth,
d. Date of death,
e. Cause of death, and
f. Location of death;
2. If not included in the court order in
subsection (I)(1), the information in
R9-19-302(A)(1) and (2), as
available;
3. An affidavit
attesting to the validity of the information required in subsection (I)(2),
signed by the person making the request; and
4. The fee in
R9-19-105 for
requesting to establish a death record or delayed death record for a
presumptive death.
