Confirm the Death and Legal Pronouncement

If someone dies at home, call 911 or the local non-emergency number. A medical professional (paramedic, physician, or coroner) must officially pronounce the death. If the person was under hospice care, contact the hospice agency first—they will send a nurse to make the pronouncement and can guide you through next steps.

The death will be registered in the state where it occurred. A funeral provider in that state can help coordinate the initial arrangements and any required local procedures. The remains can then be transported to the family's chosen destination. The funeral provider or transportation provider will typically coordinate the required permits and documentation with the receiving funeral home.

Who may legally pronounce a death depends on state law, the circumstances, and where the death occurred. Depending on the situation, an authorized physician, nurse, emergency medical professional, medical examiner, or coroner may make the pronouncement. If the person was receiving hospice care, contact the hospice provider and follow its instructions. If the death was unexpected or the person was not under professional care, call 911. The responding professionals will follow the requirements in your state and explain the next steps.

If the death was sudden, unexplained, or occurred under unusual circumstances, the medical examiner or coroner may order an autopsy. This can delay the release of the body and the issuance of the death certificate. Cooperate fully with investigators and ask about estimated timelines.