Reportable Deaths-Questionable or Suspicious
When the origin of the cause of death falls into any of the previous classifications, such a death must be reported to the Office of the Medical Examiner, even though the survival period subsequent to the onset is over 24 hours.

Only the Medical Examiner/Coroner can legally sign a death certificate of a person who had died as a direct or indirect result of any cause listed in the previously mentioned reportable death.

Not all cases fall in the above categories. After the investigation is completed, many will be returned to the jurisdiction or institution where the death certificate will be signed by the attending physician as a natural death.

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