Deaths and fetal deaths that occur in New York State outside New York City are registered electronically in DAVE, the Database Application for Vital Events, formerly called EDRS. Medical certifiers complete the cause-of-death certification online through the Health Commerce System portal; there is no paper form to download. Deaths in New York City go through NYC eVital instead.
Physicians (MD or DO), nurse practitioners and physician assistants licensed in New York complete the medical certification under the EDRS Medical Certifier role; medical examiners and coroners have their own roles. Funeral directors and local registrars complete their parts of the record in the same system.
Download the current version from the source each time; forms change without notice.
DAVE (Database Application for Vital Events) death and fetal death medical certification
New York State Department of Health, Bureau of Vital Records takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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Request a Health Commerce System account through the Sign Up Here link on the HCS login page, then have the HCS Coordinator at your facility assign the EDRS Medical Certifier role. Physicians in private practice who work alone can instead create an Independent Medical Certifier profile when they first open DAVE.
No. DAVE covers deaths and fetal deaths that occur in New York State outside New York City. Deaths in New York City are certified through NYC eVital, the city's own electronic vital records system, so certifiers working in both areas use both systems.