1. Get a legal pronouncement of death
Obtaining the legal pronouncement of death is usually the first step you’ll need to undertake and will be necessary for every other step going forward. If your loved one died in a hospital, a nursing home, or in hospice care, then the doctor or nurse who was present will usually be in charge of issuing the pronouncement.
If your loved one died outside of medical care, such as at home, then obtaining a legal pronouncement may be more hands-on. You have several options. For one, you can call 911 and have paramedics give the pronouncement. Or, you can call your loved one’s family doctor for advice or a declaration of death. Another option is to call a local medical examiner or the health department’s office for a staff member to come and assist you.
You will need this legal pronouncement in order to start making funeral arrangements and begin the process of settling their estate.
While a legal pronouncement of death and a formal death certificate are similar, they are not identical. A legal pronouncement of death is a confirmation of someone’s death by a medical professional—either a doctor or a nurse, depending on the state. In contrast, a death certificate is a formal, written legal proof that someone is no longer alive.
Keep in mind that you’ll need multiple copies of the death certificate to transfer ownership of assets, close accounts, and notify insurance companies, just to name a few tasks. So as soon as you have the official death certificate, you should begin making enough copies for the weeks ahead.
2. Confirm whether the deceased wished to be an organ donor
Now is also the time to look for records confirming whether the deceased wished to be an organ or tissue donor after their death, since doctors need to act fast if that’s the case.
A quick way to tell if a loved one was an organ donor is by looking at their driver’s license or state ID card. If they are a registered donor, they likely have a donor sticker on the bottom corner of their ID. But, that isn’t always the case. If your loved one didn’t make their organ donation wishes clear, check with the attending physician as soon as possible—they will be able to look up their organ donor records.
Let doctors or hospital staff know if you’re aware of your loved one’s wishes, or look for records indicating that they wished to donate organs or tissue after they’ve passed.
Did you know? As of 2024, there are over 170 million people who are registered organ, eye and tissue donors according to the organization Donate Life America. Over 2.5 million lifesaving and healing tissue transplants are completed each year.