Details of death

Where did they die? (Optional)

Was this their usual place of residence? (Optional)

Has their death been registered?

Do you believe the death is related to COVID-19 (coronavirus)?
Has anyone else been notified about the death?

Who else has been notified of the death?

Select all options that are relevant.

Do you have any concerns about the death?

Select all options that best describe your concern.


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