Front of Form R-301 - fcaemass.org

Standard Certificate of DeathForm R-301 Death Registration Fact Book Commonwealth of MassachusettsRegistry of Vital Records and StatisticsDraft10-05-06 RVRS Fact Book for Death RegistrationForm R-301 Draft 10/05/2006 Table of ContentsIntroductionPg 3-5 Chapter 1Pg 6 - 9 Creating Death RecordsChapter 2Pg 10 Examining and Registering Death RecordsChapter 3Pg 11-13 Disposition/Removal PermitsChapter 4Pg 13-36 Completing the Massachusetts Standard Certificate of Death -- Items 1 through 43 Chapter 5Pg 37 Certified CopiesChapter 6Pg 38 Report of Fetal DeathChapter 7Pg 39 Pending Investigation of DeathAppendix APg 40-55 Statutes Relating to Death Registration and Removal Permits in Massachusetts. Chapter 38 Chapter 46 Chapter 111 Chapter 114 Chapter 4 Appendix BPg 56-62 Sample Death Forms Standard Certificate of Death ( R-301 ) Pronouncement of Death (R-302) Burial Permits (R-309) Draft Medical Examiner Certificate of DeathAppendix CPg 63-64 Contacts for Death Registration Information2 RVRS Fact Book for Death RegistrationForm R-301 Draft 10/05/2006 IntroductionPURPOSEThis manual provides instruction for all individuals who participate in the death registration process in the Commonwealth of Massachusetts.

RVRS Fact Book for Death Registration Form R-301 Draft 10/05/2006 three broad categories as stated in the law: 1. Attending physician (or a physician covering for the attending physician).

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