Maine certifies deaths electronically in DAVE, the Database Application for Vital Events, through its Electronic Death Registration System module. The funeral director or vital records staff enter the decedent's personal information and the medical certifier completes the medical certification. Once both parts pass all validation rules, the record is registered and assigned a State File Number, and certified copies can be issued.
A medical certifier (MD, DO, PA or certified nurse practitioner) or a medical examiner completes and certifies the medical section: pronouncement, place of death, cause of death, other factors and the certifier page. Facility staff may enter this information for the provider to review and certify; the decedent page is read-only for providers.
Download the current version from the source each time; forms change without notice.
DAVE (Database Application for Vital Events) death medical certification
Maine Department of Health and Human Services, Data, Research and Vital Statistics 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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Enrolled medical certifiers with the title MD, DO, PA or certified nurse practitioner, and medical examiners. Facility staff can hold a non-certification role and enter the pronouncement, place and cause of death, but the provider must log in, validate the certifier page and click Certify to complete the medical certification.
Complete the DAVE Enrollment Form for Medical Certifiers & Staff, choosing the medical certifier or non-certification staff role, entering a professional license number and the training received, and signing the confidentiality statement. The DAVE help desk handles usernames, passwords, error overrides and account registration.
Only after both the personal information and the medical certification are entered in DAVE and pass all validation rules. The record then receives a State File Number, and copies of the death certificate can be issued by vital records, the municipality where the death occurred or the decedent's municipality of residence.