AGENCY: Davis County (Utah). Health Department. Administration Division

SERIES: 10722
TITLE: Monthly funeral home death report
DATES: undated.
ARRANGEMENT: None

DESCRIPTION: This three-part monthly report is submitted by funeral directors for each casket furnished and for funerals performed where no casket was furnished as required by UCA 26-2-16(3) (1995). It is used to ensure that all death certificates are filed. The original is maintained by the local health department while the first copy is submitted to the State Health Department and the second copy is retained by the submitting funeral director. The information includes the month of the report, name and location of the funeral home, and a list of deaths for the period giving for each the date of death, name of the deceased, age of the deceased, name of the medical attendant, and the county where death occurred.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is proposed and has not yet been approved.

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then destroy.

APPRAISAL

PRIMARY DESIGNATION

Public

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