Form SFN58646 North Dakota Certifier's Worksheet for Completing a Medical Certification of Death - North Dakota

Form SFN58646 North Dakota Certifier's Worksheet for Completing a Medical Certification of Death - North Dakota

What Is Form SFN58646?

This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is SFN 58646?A: SFN 58646 is the North Dakota Certifier's Worksheet for completing a Medical Certification of Death in North Dakota.

Q: Who should use SFN 58646?A: Medical certifiers in North Dakota should use SFN 58646.

Q: What is the purpose of SFN 58646?A: The purpose of SFN 58646 is to help medical certifiers accurately complete a Medical Certification of Death in North Dakota.

Q: What information does SFN 58646 require?A: SFN 58646 requires information such as the decedent's personal details, cause of death, and other relevant medical information.

Q: Are there any guidelines for completing SFN 58646?A: Yes, there are guidelines provided along with SFN 58646 to assist medical certifiers in accurately completing the form.

Q: Is SFN 58646 specific to North Dakota?A: Yes, SFN 58646 is specific to North Dakota and should only be used for medical certifications of death within the state.

Q: Is SFN 58646 legally binding?A: SFN 58646 itself is not legally binding, but the information provided on the form is important for legal purposes and official recordkeeping.

Q: How should SFN 58646 be submitted?A: SFN 58646 should be submitted according to the instructions provided by the North Dakota Department of Health.

Q: What should I do if I have questions about SFN 58646?A: If you have questions about SFN 58646, you should contact the North Dakota Department of Health or seek guidance from authorized sources.

ADVERTISEMENT

Form Details:

  • Released on June 1, 2021;
  • The latest edition provided by the North Dakota Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SFN58646 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN58646 North Dakota Certifier's Worksheet for Completing a Medical Certification of Death - North Dakota

4.3 of 5 (11 votes)
  • Form SFN58646 North Dakota Certifier's Worksheet for Completing a Medical Certification of Death - North Dakota

    1

  • Form SFN58646 North Dakota Certifier's Worksheet for Completing a Medical Certification of Death - North Dakota, Page 2

    2

  • Form SFN58646 North Dakota Certifier's Worksheet for Completing a Medical Certification of Death - North Dakota, Page 3

    3

  • Form SFN58646 North Dakota Certifiers Worksheet for Completing a Medical Certification of Death - North Dakota, Page 1
  • Form SFN58646 North Dakota Certifiers Worksheet for Completing a Medical Certification of Death - North Dakota, Page 2
  • Form SFN58646 North Dakota Certifiers Worksheet for Completing a Medical Certification of Death - North Dakota, Page 3
Prev 1 2 3 Next
ADVERTISEMENT