An official website of the Tennessee Secretary of State.
Core Data
RDA Number
2981
Effective Date
Record Series Abstract
THE RECORDS CONTAIN INFORMATION REGARDING THE DEATHS OF PERSONS SERVED. INCLUDED ARE: MR-0483 NOTICE OF DEATH REPORTING, AND MR-0487 INITIAL AGENCY DEATH REVIEW. Additional forms: Reportable Event Form (REF) DIDD-0495, Preliminary Death Review Form DIDD-0612, medical records including physician, specialists, hospital, and emergency room records related to the person who is deceased in the 12 months before death, Clinical Death Summary (as applicable), Comprehensive Death Review (as applicable), Death Review Committee Attendance Form DIDD-6023 (as applicable), autopsy or Medical Examiner/Coroner Report (as applicable), and Emergency Medical Services Reports (as applicable).
Record Series Active
Yes
Cut Off at End of
Other
If Other, Explain
After termination of services
Total Retention Years
10
Total Retention Months
0
Retention End Action
Destroy
Disposition Notes
These Records are generated in paper format after death of person, documenting cause of death, etc., are filed, maintained for audit and review. Old records are subject to additional reviews. Court hearing can result in request that past records (11) years be reviewed. SEE T.C.A 33-3-101. Records are destroyed via state approved method at the end of the retention period.
Worksheet
Record Location
291 Stewarts Ferry Pike, Nashville, TN 37214
File Arrangement
Numerical
Media Format Generated
Paper
Media Format Stored
Paper
Media Format Stored Summary
Paper: Sheet
Date Range
1995 to current
Allotment Code
344.01
Annual Accumulation
1 - 2 cu. ft.
Current Volume
30 cu. ft.
Record Value
Administrative
Legal
Audit Requirements
State
Information Shared Outside the State
Yes
Shared Agencies
Dept of Justice PHB 5918, 601 D Street NW, Washington, DC 20004
Essential Record
Yes - Original
Essential Record Stored
291 Stewarts Ferry Pike, Nashville, TN 37214
Essential Record Media Type
Paper
Confidential
Yes
Confidential Legal Citation
45 CFR Part 164, T.C.A. 33-1-303 and 10-7-504.
Does this Record Series Contain Sensitive Information?
No
Agency Retention
10 years
Records Center Retention Period
0
Retention Legal Citation
TCA 33-3-101
RDA Comments
Records Management Division (RMD)
03-31-2022
No recommended changes.
Tennessee State Library and Archives
04-05-2022
No recommended changes.
Comptroller Audit Review
04-01-2022
We have reviewed RDA 2981 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency Records Officer
04-05-2022
Thank you!
RMD Director
09-08-2022
RDA 2981 is a request to revise an RDA. The retention period will remain ten years and destroy. The format will be paper. The Abstract, Disposition Notes, and Worksheet have been updated. Recommend approval of the request to revise RDA 2981.
Public Records Commission
10-05-2022
PRC approves RDA 2981.