Form D-1 · Register of Deaths
Death Certificate
Records a death. Captures deceased's identity, time + place of death, cause, certifying authority, and the informant.
Register:
register_of_deathsForm code:
D-1Sections: 4
Fields: 19
Deceased
| Tag | Example value | Font | Size | Reserve |
|---|---|---|---|---|
{{deceased.given_names}}req | Karl Wilhelm | AaNoto Sans | 10.5pt medium | 60mm |
{{deceased.surname}}req | Schroder | AaNoto Sans | 10.5pt medium | 60mm |
{{deceased.maiden_name}} | Bauer | AaNoto Serif italic | 8pt italic | 50mm |
{{deceased.sex}} | male | AaNoto Sans | 10.5pt | 20mm |
{{deceased.date_of_birth}} | 11 February 1942 | AaNoto Sans | 10pt | 40mm |
{{deceased.place_of_birth}} | Hamburg, FRG | AaNoto Sans | 10pt | 80mm |
{{deceased.last_residence}} | Royal Oak, Michigan, USA | AaNoto Sans | 10pt | 80mm |
{{deceased.nationality}} | Kaharagian | AaNoto Sans | 10pt | 35mm |
{{deceased.marital_status}} enum: never_married / married / domestic_partnership / separated / divorced / widowed | Widowed | AaNoto Sans | 10pt | 30mm |
{{deceased.spouse_name}} Surviving or predeceased spouse, if any. | Anna Schroder | AaNoto Sans | 10pt | 60mm |
Death
| Tag | Example value | Font | Size | Reserve |
|---|---|---|---|---|
{{death.date_of_death}}req | 14 May 2026 | AaNoto Sans | 10.5pt | 35mm |
{{death.time_of_death}} | 04:17 | AaNoto Sans | 10.5pt | 15mm |
{{death.place_of_death}}req | William Beaumont Hospital, Royal Oak, Michigan, USA | AaNoto Sans | 10.5pt | 110mm |
{{death.cause_of_death}} | Cardiac arrest (a) Myocardial infarction (b) Coronary atherosclerosis | AaNoto Sans | 10pt | full width |
{{death.certified_by}} | Dr. James Lee, MD | AaNoto Sans | 10pt | 60mm |
{{death.certifying_authority}} | Oakland County Medical Examiner | AaNoto Sans | 10pt | 80mm |
Informant
| Tag | Example value | Font | Size | Reserve |
|---|---|---|---|---|
{{informant.name}} | Anna Schroder | AaNoto Sans | 10pt | 60mm |
{{informant.relationship}} | Spouse | AaNoto Sans | 10pt | 35mm |
Remarks
| Tag | Example value | Font | Size | Reserve |
|---|---|---|---|---|
{{public_remarks}} | (empty) | AaNoto Serif italic | 9.5pt italic | full width · min 12mm tall |
Don't forget
On top of these per-type fields, every template includes the Universal Header (state name, office chain, document title) and the Security Envelope (serial, hash, signature, QR — auto-filled by docgen at issuance).