Disaster-Related Mortality Surveillance Form

Disaster-Related Mortality Surveillance Form

Disaster-Related Mortality Surveillance Form is a 1-page legal document that was released by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention on March 21, 2007 and used nation-wide.

FAQ

Q: What is the Disaster-Related Mortality Surveillance Form?
A: The Disaster-Related Mortality Surveillance Form is a document used to collect information about deaths that occur during or as a result of a disaster.

Q: Who uses the Disaster-Related Mortality Surveillance Form?
A: The Disaster-Related Mortality Surveillance Form is used by public health agencies and emergency management officials to track and analyze deaths related to disasters.

Q: What information is collected on the Disaster-Related Mortality Surveillance Form?
A: The form collects data on the deceased individual, the circumstances surrounding their death, and any contributing factors related to the disaster.

Q: Why is the Disaster-Related Mortality Surveillance Form important?
A: The form allows for the monitoring and evaluation of disaster-related deaths, which can help inform response and preparedness efforts in the future.

Q: How is the information from the Disaster-Related Mortality Surveillance Form used?
A: The information collected on the form is used to identify trends and patterns in disaster-related deaths, assess the effectiveness of response efforts, and inform public health interventions.

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Form Details:

  • The latest edition currently provided by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more legal forms and templates provided by the issuing department.

Download Disaster-Related Mortality Surveillance Form

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  • Disaster-Related Mortality Surveillance Form, Page 1
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