Instructions for Completing Items on the

If decedent is less than 24 hours old , enter age in hours or minutes (i.e. 12 hours or 30 minutes) 5. Date of Birth (Mo/Day/Yr) Enter the full name of the month (January, February, etc), day and 4-digit year that the decedent was born. If the date of birth is unknown, then enter “Unknown”. 6. ................
................

In order to avoid copyright disputes, this page is only a partial summary.