If a death or stillbirth occurs without medical assistance, who signs the death certificate?

When a death or stillbirth occurs without medical assistance, the responsibility for signing the death certificate typically falls to the local health officer. This is primarily because the local health officer is tasked with overseeing public health matters within the jurisdiction, including the proper documentation of deaths that do not involve a physician.

In this scenario, the health officer is usually familiar with the legal requirements for certifying a death when it isn't attended by a medical professional and has the authority to verify the circumstances and causes of death. This role ensures that the death certificate is completed in accordance with local laws and regulations, providing necessary oversight and maintaining public health records.

The funeral director does play a role in the management and preparation of the deceased, but they are not authorized to sign death certificates unless they have specific qualifications or permissions. Similarly, emergency services may provide initial care or transport but are not responsible for certifying death. Meanwhile, next of kin typically cannot sign the death certificate unless legally endorsed to do so under specific conditions, which generally are not applicable in cases of unattended deaths.