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Disaster-related mortality surveillance form
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3/21/2007
[PDF-48.57 KB]
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Description:Complete the form for all known deaths related to a disaster: This information should be obtained from a medical examiner, coroner, hospital, funeral home or DMORT (Disaster Mortuary Team) office. Please, complete one form per decedent.
Form v1.1 Rev.03/21/2007
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Pages in Document:1 unnumbered page
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