V

1. Obtains personal facts about deceased

2. Takes certificate to physician for medical certification

3. Delivers completed certificate to local office of district where death occurred and obtains burial permit

1. Obtains the facts about fetal death

2. Takes certificate to physician for entry of causes of fetal death

3. Delivers completed certificate to local office of district where delivery occurred and obtains burial permit

Local office (may be local registrar or city or county health department)

1. Verifies completeness and accuracy of certificate

2. Makes copy, legdger entry, or index for local use

3. Sends certificates to state registrar

1. Verifies completeness and accuracy of certificate

2. Makes copy, ledger entry, or index for local use

3. Issues burial permit to funeral director and verifies return of permit from cemetery attendant

4. Sends certificates to state registrar

City and county health departments use certificates in allocating medical and nursing services, follow-ups on Infectious diseases, planning programs, measuring effectiveness of services, and conducting research studies

State registrar, Bureau of Vital Statistics

1. Queries incomplete or inconsistent Information

2. Maintains flies for permanent reference and as the source of certified copies

3. Develops vital statistics for use in planning, evaluation, and administering state and local health activities and for research studies

4. Compiles health-related statistics for state and civil divisions of state for use of the health department and other agencies and groups interested in the fields of medical science, public health, demography, and social welfare

5. Prepares copies of birth, death, and fetal death certificates or records for transmission to the National Center for Health Statistics

Public Health Service and National Center for Health Statistics

1. Prepares and publishes national statistics of births, deaths, and fetal deaths; and constructs the official U.S. life tables and related actuarial tables

3. Conducts health and social-research studies based on vital records and on sampling surveys linked to records

4. Conducts research and methodological studies in vital statistics including the technical, administrative, and legal aspects of vital records registration and administration

2. Maintains a continuing technical assistance program to improve the quality and usefulness of vital statistics

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