AGENCY: Davis County (Utah). Health Department. Administration Division

SERIES: 10717
TITLE: Certified death certificate application
DATES: 1973-2019.
ARRANGEMENT: None

DESCRIPTION: This application is used to request a certified death certificate. It includes identifying information, death date, deceased's name, place of death, county birthplace of decedent, usual residence of decedent, name of father, mother, reason for requesting including relationship to person whose certificate is requested, signature of applicant, address, phone, date, number requested, and fee amount.

RETENTION

Retain for 1 year(s) after expiration of permit or license

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule Transitory tracking records, GRS-1720

AUTHORIZED: 06/20/2019

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year or until permit has expired or been terminated and then destroy.

Computer data files: For records beginning in 2006 and continuing to the present. Retain in Office for 1 year or until permit has expired or been terminated and then delete.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private

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