Get Ca Vchca Ca-edrs Fax Sheet 2019

The CA VCHCA CA-EDRS Fax Sheet is an essential document for reporting death-related information to the relevant authorities. This guide will provide you with clear, step-by-step instructions on how to fill out the form efficiently and accurately online.

Follow the steps to complete the CA-EDRS Fax Sheet online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter today’s date in the designated field in the format of MM/DD/YYYY. This identifies the date the form is being filled out.
3. Fill in the decedent’s first, middle, and last names as required. Make sure to provide accurate spellings for easy identification.
4. Select whether you are completing the EDRS or FDRS record by entering the respective record number.
5. Specify the date of death by entering the date in the format of MM/DD/YYYY. This is a critical detail for processing.
6. Indicate if the decedent was under hospice care by selecting either ‘Yes’ or ‘No.’ If ‘No’ is selected and you have marked 'Decedent Home' or 'Other,' a Coroner's clearance number will be needed.
7. Check the applicable box for amendment submitted. If a refile permit number is required, please fill that in as well.
8. Complete any additional sections that apply based on your situation, including reasons for filing late if applicable.
9. Complete the section for the funeral establishment, including the name, contact person, and telephone or fax numbers.
10. Review all required fields marked with an asterisk (*) to ensure they are filled out completely prior to submission.
11. Once completed, you can save your changes, download, print, or share the fax sheet as needed.

Complete your documents online today for efficient submission.