Try for free

TxEVER Death Certification: Texas Medical Certifiers

Texas records deaths and fetal deaths in TxEVER, the Texas Electronic Vital Events Registrar run by DSHS Vital Statistics. When a funeral home designates a physician, PA or APRN as medical certifier, that clinician accepts the designation and completes the cause and manner of death online. The certification is the clinician's best medical opinion and feeds the death certificate the family relies on.

Who completes it

The decedent's attending physician, physician assistant or advanced practice registered nurse certifies natural deaths; justices of the peace and medical examiners certify the others. An associate physician, chief medical officer or autopsy physician may certify if the attending is unavailable and approves and they have the medical history.

Submitting and payment

How to submit it
Accept the medical designation and electronically sign the certification in TxEVER within five days of receiving the death certificate, or tell the funeral director why it is delayed; the full certificate must be filed within ten days of death.
Who pays
A medical amendment to correct or update the cause of death can be filed at no charge if new information becomes available later.

Good to know

  • Physicians, PAs and APRNs may select only Natural as the manner of death; accident, suicide, homicide and undetermined deaths go to the justice of the peace or medical examiner.
  • Certifiers can opt in to text notifications of a medical designation through Field Services or their local administrator.
  • TxEVER disables accounts after 90 days of inactivity; the local administrator or a TxEVER help request restores access.
  • For a natural-death burial transit permit, accept the designation and select Natural as the manner; the full certification can follow within the five days.

Get the official form

Download the current version from the source each time; forms change without notice.

TxEVER (Texas Electronic Vital Events Registrar) death medical certification

Official page

Get the note ready with Vero

Texas Department of State Health Services, Vital Statistics Section 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.

See how Vero Scribe works

How this list is checked

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.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

How long does a Texas physician have to certify a death in TxEVER?

Five days from receiving the death certificate, under Health and Safety Code 193.005(b). If that is not possible, the certifier must notify the funeral director of the reason for the delay. The whole death certificate must be filed within ten days of the date of death.

What training is there for TxEVER death certification?

DSHS Vital Statistics partnered with the Texas A&M School of Public Health on online courses, including Death Certificate and Cause of Death Reporting for physicians and versions for disasters. DSHS also posts a certify records guide, demo videos, shortcut sheets and the Death Registration Handbook, revised January 2026.