CAUSE OF DEATH QUERY FORMS

Query forms are sent to cause of death certifiers when important information is missing from the certificate. These forms are also sent when the cause of death is unclear, illegible, or appears to be an error.

A query form signed by the certifier may be used by Vital Records to add missing information to injury Items 25a-g of the original certificate.

In some cases, the information requested on the query form is needed for keying, coding, research, or statistical purposes only. In these cases, the additional information provided by the certifier is not added to the original death certificate.