KRS 213.076: Certificate of death or provisional certificate of death required to be filed -

- Method of filing -- Notice of military burial rights -- Medical certification of

cause of death -- Contents of certificate -- Supplemental report -- Verification-

of-death statements -- Interment or other disposition of body prohibited unless

accompanied by copy of certificate -- Authorization for disinterment -- Change

in death certificate.

(1) (a) A certificate of death or a provisional certificate of death for each death which

occurs in the Commonwealth shall be filed with the cabinet or as otherwise

directed by the state registrar prior to final disposition, and it shall be

registered if it has been completed and filed in accordance with this section.

The fu neral director, or person acting as such, who first takes custody of a

dead body shall be responsible for filing the certificate of death. The funeral

director, or person acting as such, shall obtain the required personal and

statistical particulars from t he person best qualified to supply them over the

signature and address of the informant. All certificates of death shall be filed

with the cabinet using the Kentucky Electronic Death Registration System in

a manner directed by the state registrar.

(b) At the time of obtaining the required personal and statistical particulars from

the informant referred to in paragraph (a) of this subsection, the funeral

director, or person acting as such, shall ask the informant if the deceased ever

served in the military. If the informant answers in the affirmative, then the

funeral director, or person acting as such, shall provide the informant with a

fact sheet stating military burial rights supplied by the Kentucky Department

of Veterans' Affairs.

(c) The funeral director, or person acting as such, shall within five (5) days of the

death, present the certificate to the attending physician, advanced practice

registered nurse, or physician assistant, if any, to the physician pronouncing

death, or to the health officer or co roner as directed by the state registrar, for

the medical certificate of the cause of death and other particulars necessary to

complete the record as required by this chapter.

(d) It shall be unlawful for an institution to release a dead human body until t he

funeral director, or person acting as such, has completed and filed with the

local registrar or person in charge of the institution, a provisional certificate of

death. If death occurs outside an institution, the provisional certificate shall be

filed with the local registrar by the funeral director, or person acting as such,

prior to final disposition of the dead body. A copy of the provisional

certificate of death signed by the person with whom it was filed, shall

constitute authority for the possessio n, transportation, and, except for

cremation, final disposition of the body.

(e) All persons having in their possession a completed provisional certificate of

death shall file the certificate at not more than weekly intervals with the local

registrar.

(f) If the place of death is unknown but the dead body is found in the

Commonwealth, the certificate of death shall be completed and filed in

accordance with this section. The place where the body is found shall be

shown as the place of death. If the date of d eath is unknown, it shall be

determined by approximation subject to amendment upon completion of any

postmortem examination required to be performed.

(g) If death occurs in a moving conveyance in the United States and the body is

first removed from the con veyance in the Commonwealth, the death shall be

registered in Kentucky, and the place where it is first removed shall be

considered the place of death. If a death occurs on a moving conveyance

while in international waters or air space or in a foreign coun try or its air

space, and the body is first removed from the conveyance in the

Commonwealth, the death shall be registered in Kentucky, but the certificate

shall show the actual place of death insofar as can be determined.

(2) If any certificate of death i s incomplete or unsatisfactory, the state registrar shall

call attention to the defects in the certificate and require the person responsible for

the entry to complete or correct. The state registrar may also require additional

information about the circumstances and medical conditions surrounding a death in

order to properly code and classify the underlying cause. A funeral director shall

not be held responsible for the failure of a physician, advanced practice registered

nurse, physician assistant, dentis t, chiropractor, or coroner to complete or correct

the entry for which he or she is responsible.

(3) (a) The medical certification shall be completed, signed, and returned to the

funeral director within five (5) working days after presentation to the

physician, advanced practice registered nurse, physician assistant, dentist, or

chiropractor in charge of the patient's care for the illness or condition which

resulted in death, except when inquiry is required by KRS 72.400 to 72.475.

In such cases, or if the cause of death is unknown or under investigation, the

medical certification shall be completed within fiv e (5) days after receiving

results of the inquiry as required by KRS 72.400 to 72.475.

(b) In the absence of the physician, advanced practice registered nurse, physician

assistant, dentist, or chiropractor, or with such person's approval, the

certificate m ay be completed and signed by his or her associate physician,

advanced practice registered nurse, physician assistant, dentist, or

chiropractor, or the chief medical officer of the institution in which death

occurred, or the physician who performed an auto psy upon the decedent, or a

physician, advanced practice registered nurse, or physician assistant employed

by the local health department, if the individual has access to the medical

history of the case and death is due to natural causes.

(4) If death occurs more than thirty-six (36) hours after the decedent was last treated or

attended by a physician, advanced practice registered nurse, physician assistant,

dentist, or chiropractor, the case shall be referred to the coroner for investigation to

determine and certify the cause of death. In the event that a coroner is not available

to sign the certificate and there is no duly appointed deputy, the county

judge/executive shall appoint a competent person to investigate the death and

certify to its cause.

(5) (a) The physician, advanced practice registered nurse, physician assistant, dentist,

chiropractor, or coroner who certifies to the cause of death shall return the

certificate to the funeral director, or person acting as such, who, in turn, shall

file the cer tificate directly with the Vital Statistics Branch. Any certified

copies of the record requested at the time of filing shall be issued in not more

than two (2) working days.

(b) In the case of a death in which diabetes was known to be an underlying cause

or contributing condition, diabetes shall be listed in the appropriate location

on the death certificate by the physician, advanced practice registered nurse,

physician assistant, dentist, chiropractor, or coroner who certifies to the cause

of death.

(6) Three (3) free verification -of-death statements shall be provided to the funeral

director by the Vital Statistics Branch for every death in the Commonwealth of

Kentucky.

(7) The body of any person whose death occurs in Kentucky shall not be interred,

deposited in a vault or tomb, cremated, or otherwise disposed of, or removed from

or into any registration district, until a provisional certificate of death has been filed

with the local registrar of the registration district in which the death occurs. If the

death occurred from a disease declared by the Cabinet for Health and Family

Services to be infectious, contagious, or communicable and dangerous to the public

health, no permit for the removal or other disposition of the body shall be granted

by the registra r except under conditions prescribed by the Cabinet for Health and

Family Services and the local health department. The Cabinet for Health and

Family Services shall identify by regulation those communicable diseases which

require blood and body fluid preca utions. If a person who has been diagnosed as

being infected with a communicable disease for which blood and body fluid

precautions are required, dies within a health facility as defined in KRS 216B.015,

the facility shall notify any embalmer or funeral di rector to whom the body will be

transported of the need for such precautions. The notice shall be provided by

including the statement "Blood and Body Fluid Precautions" on the provisional

report-of-death form as prescribed by the Cabinet for Health and Fam ily Services.

Lack of this notice shall not relieve any embalmer or funeral director from taking

universal blood and body fluid precautions as are recommended by the United

States Department of Health and Human Services, Centers for Disease Control for

Morticians' Services. No embalmer or funeral director shall charge more for

embalming the remains of a person with a communicable disease which requires

blood and body fluid precautions than the price for embalming services listed on the

price list funeral pr oviders are required to maintain and provide to consumers

pursuant to 16 C.F.R. sec. 453.2.

(8) A burial-transit permit for the final disposition issued under the law of another state

which accompanies a dead body or fetus brought into the Commonwealth sha ll be

the authority for final disposition of the body or fetus in the Commonwealth and

may be accepted in lieu of a certificate of death. There shall be noted on the face of

the record made for return to the local registrar that the body was shipped to

Kentucky for interment and the actual place of death.

(9) Nothing in this section shall be construed to delay, beyond a reasonable time, the

interment or other disposition of a body unless the services of the coroner or the

health officer are required or the Department for Public Health deems it necessary

for the protection of the public health. If compliance with this section would result

in unreasonable delay in the disposition of the body the funeral director, or person

acting as such, shall file with the l ocal registrar or deputy registrar prior to

interment a provisional certificate of death which shall contain the name, date, and

place of death of the deceased, the name of the medical certifier, and an agreement

to furnish within ten (10) days a complete and satisfactory certificate of death.

(10) No sexton or other person in charge of any place in which interment or other

disposition of dead bodies is made shall inter or allow interment or other disposition

of a dead body or fetus unless it is accompanied by a copy of the provisional

certificate of death. The sexton, or if there is no sexton, the funeral director, or

person acting as such, shall enter on the provisional certificate over his or her

signature, the date, place, and manner of final disposition and file the certificate

within five (5) days with the local registrar.

(11) Authorization for disinterment, transportation, and reinterment or other disposition

shall be required prior to disinterment of any human remains. The authorization

shall be issued by the state registrar upon proper application. The provisions of this

subsection shall apply to all manners of disposition except cremation and without

regard for the time and place of death. The provisions of KRS 381.765 shall not

apply to remains removed for scientific study and the advancement of knowledge.

(12) After a death certificate has been on file for five (5) years, it may not be changed in

any manner except upon order of a court. Prior to that time, requests for corrections,

amendments, or a dditions shall be accompanied by prima facie evidence which

supports the requested change.