Record of Death/Mortician's Report
Updated 2021
Briggs Record of Death/Mortician's Report is used to document pertinent information regarding a patient's/resident's death as well as notifications of physician and family/representatives and name/license number of the nurse present at the time of death.
Also included is mortuary information including personal effects sent with the mortician and the mortician signature.
Size: 8 1/2 x 11
Paper: White
Print: Black ink; one-side
Packaging: 100 per pad
Paper: White
Print: Black ink; one-side
Packaging: 100 per pad