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Minnesota Administrative Rules

4601.2550 REQUIREMENTS FOR CERTIFIED DEATH RECORD.

Subpart 1.

Data items required; fact of death.

A fact of death certified death record must be in the format prescribed by the state registrar and include the date issued, the county or office of issuance, and the following items, if the items are present on a death record:

A.

first name, middle name, last name, and suffix of the deceased;

B.

maiden surname of the deceased;

C.

first name, middle name, last name, and suffix of an alias of the deceased;

D.

sex;

E.

social security number;

F.

date of death;

G.

county and either city or township of death;

H.

date of birth;

I.

city and state or foreign country of birth;

J.

father's first name, middle name, and last name;

K.

mother's first name, middle name, and maiden surname;

L.

marital status;

M.

first name, middle name, and last name or maiden surname of a spouse, if married;

N.

county, state, and either city or township of residence;

O.

name of the funeral establishment; and

P.

date the documentation of death was filed.

Subp. 2.

Data items required; fact and cause of death.

A fact and cause of death certified death record must be in the format prescribed by the state registrar and include the following items, if the items are present on the death record:

A.

all of the items required under subpart 1;

B.

immediate cause of death;

C.

underlying cause of death;

D.

conditions contributing to the death;

E.

manner of death; and

F.

name and address of the physician who provided the cause of death information.

Subp. 3.

Amendments to death records; notation.

Except as provided in part 4601.2100, subpart 2, an amendment to any item listed in subpart 1 must be noted on a certified death record.

Statutory Authority:

MS s 144.12; 144.213; 144.221

History:

25 SR 487; L 2001 1Sp9 art 15 s 32

Published Electronically:

July 26, 2007

700 State Office Building, 100 Rev. Dr. Martin Luther King Jr. Blvd., St. Paul, MN 55155 ♦ Phone: (651) 296-2868 ♦ TTY: 1-800-627-3529 ♦ Fax: (651) 296-0569