1. Acceptable eSignatures on the California Death Certificate

2. June 2004NAPHSIS June 20042 Official Signatures/Names  Signature of Embalmer  Name of Funeral Establishment (License #)  Signature of Local Registrar  Signature of Certifier (License #)  Name of Attending Physician  Signature and Name of Coroner  Signature of Embalmer  Name of Funeral Establishment (License #)  Signature of Local Registrar  Signature of Certifier (License #)  Name of Attending Physician  Signature and Name of Coroner

3. June 2004NAPHSIS June 20043 Embalmer’s Signature  Department of Consumer Affairs regulates this industry  Signature may be a proxy by using Power of Attorney given to the Funeral Director  Department of Consumer Affairs regulates this industry  Signature may be a proxy by using Power of Attorney given to the Funeral Director

4. June 2004NAPHSIS June 20044 Name of Funeral Establishment  Regulated by Department of Consumer Affairs  Only name and license number are required on the California death certificate  Regulated by Department of Consumer Affairs  Only name and license number are required on the California death certificate

5. June 2004NAPHSIS June 20045 Signature of Local Registrar  The name of the Health Officer presiding over the local jurisdiction  May be a signature stamp or a typed name generated from an electronic jurisdiction  The name of the Health Officer presiding over the local jurisdiction  May be a signature stamp or a typed name generated from an electronic jurisdiction

6. June 2004NAPHSIS June 20046 Signature of Certifier  The physician in attendance enters the time and direct causes of death  The physician then reviews the section for accuracy, attests to the facts, and signs the certification statement  The physician in attendance enters the time and direct causes of death  The physician then reviews the section for accuracy, attests to the facts, and signs the certification statement

7. June 2004NAPHSIS June 20047 Signature of Certifier-con’t  The signature is currently handwritten, in black ink  State Registrar requires this entry to reflect non-repudiation  The signature is currently handwritten, in black ink  State Registrar requires this entry to reflect non-repudiation

8. June 2004NAPHSIS June 20048 Name of Attending Physician  If the certifier is different from the Attending physician, then the attending physician’s name is entered onto the death certificate

9. June 2004NAPHSIS June 20049 HighlightsHighlights  Proposed methods for capturing signatures with Ca-EDRS electronic death certificates  PIN over secure connection from registered location (IP Address) Local registrar, embalmer, physician, Coroner/ME  DHS Approved voice print system Physician, Coroner/ME from unregistered connection  Fax Signature Process to EDRS Fax Server  Proposed methods for capturing signatures with Ca-EDRS electronic death certificates  PIN over secure connection from registered location (IP Address) Local registrar, embalmer, physician, Coroner/ME  DHS Approved voice print system Physician, Coroner/ME from unregistered connection  Fax Signature Process to EDRS Fax Server

10. June 2004NAPHSIS June 200410 Electronic “Signatures” Coroner Medical Examiner Embalmer Local Registrar CA-EDRS-Registered UserID PIN

11. June 2004NAPHSIS June 200411 Electronic “Signatures” Medical Certifier Physician Physician CA-EDRS-Registered UserID PIN Speaker / Voice Identification Fax Signature

12. June 2004NAPHSIS June 200412 The old fashioned way ! (With a modern twist…) Reinsert signed form and print rest Drop to Paper for ink signature Dual Pass Registration Process

13. June 2004NAPHSIS June 200413 http://edrs.ucdavis.edu