Signature of the informant and date are required.
Legal name: include AKAs, if any.
Occupation: indicate type of work done during most of working life.
Race: check one or more races to indicate what the decedent considered their self or herself to be.
Hispanic origin: check the No box if decedent is not Spanish/Hispanic/Latino/Latina.
Education: check the box that best describes the highest degree or level of school completed at the time of death.
| Question | Answer |
|---|---|
| Form Name | Form 0670C-ENG-DPH |
| Issuing Authority | South Carolina DHEC |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 78 |
| Avg. time to fill out | 13 min |
| Other names | 0670C-ENG-DPH, South Carolina death certificate worksheet, SC death certificate worksheet, Certificate of Death Funeral Home Worksheet, death certificate worksheet |
| Official source | 0670C-ENG-DPH (07/2024), South Carolina DPH |
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