GOVERNMENT OF TELANGANA ABSTRACT HM&FW Department — COVID-19 — Constitution of District Level COVID-19 Death Ascertaining Committee (CDAC) for issuing Official document for COVID-19 Death — Orders — Issued. HEALTH, MEDICAL & FAMILY WELFARE (D) DEPARTMENT G.0.Ms.No.151 Dated 08.11.2021 Read the following: 1) F.No.C.18018/ 11/2021-DM Cell, dated 03.09.2021 from DDG, DM Cell, Government of India, Ministry of Health & Family Welfare (Disaster Management Cell), New Delhi. 2) No.16/11/2021-RR, dated 11.09.2021, from Joint Advisor(RR), GOI, National Disaster Management Authority, New Delhi. Hee ORDER: Government hereby notify the District Level COVID-19 Death: Ascertaining Committee (CDAC) with the following members for issuing of ‘Official Document for COVID-19 Death’ as per the guidelines issued by Ministry of Health & Family Welfare, Government of India and Indian Council of Medical Research, New Delhi In the references read above: a) District Collector — Chairman b) District Medical Health Officer —Member-Convener ¢) Superintendent of Headquarter Hospital — Member 2 The above committee shall also act as Grievance Redressal Committee regarding certification of death. oF The CDAC will follow the procedure outlined below for issuing the ‘Official Document for COVID-19 Death’. a) The next kin of the deceased shall submit an application through Meeseva center for issue of ‘Official Document for COVID-19 Death’. b) The ‘Official Document for COVID-19 Death’ will be issued by above committee in format at Annex after due examination and verification of all facts in accordance with guidelines issued in the references 1* and 2" read above c The said document shall also be communicated to Chief Registrar of the State and Registrar of Birth and Death who issued the death certificate, d) The Committee shall also examine the grievances of the next of kin of the deceased, and Propose necessary remedial measures, including Issuance of amended Official Document for COVID-19 Death after verifying facts in accordance with these guidelines. e ‘The application for issuance of ‘Official Document for COVID-19 Death’ and redressal of grievances shall be disposed of within (30) days of submission of the application / grievance. Contd...SE f) The Member-Convener shall maintain record of proceedings of the committee. 3. All the District Collectors in the State shall take necessary action accordingly. (BY ORDER AND IN THE NAME OF THE GOVERNOR OF TELANGANA) S.A.M.RIZVI SECRETARY TO GOVERNMENT To All the Collectors and District Magistrate in the State. All District Medical & Health Officers in the State. All Superintendents of District Head Quarters Hospitals in the State. Copy to: The Commissioner of Health & Family Welfare, Hyderabad. The Director of Public Health & Family Welfare, Hyderabad. The Director of Medical Education, Hyderabad. The Commissioner of TWP, Hyderabad. The Secretary to Government, Revenue (DM) Department. PS to Secretary to Hon'ble Chief Minister. PS to Chief Secretary to Government. PA to Secretary to Government, HM&FW Department. //FORWARDED::BY ORDER// ae caer (ON OFFICERANNEXURE OFFICIAL DOCUMENT FOR COVID-19 DEATH (Issued in compliance to the | Hon'ble Supreme Court Judgement dated 30” June 2021 in WP(Civil) No.539 & WP(Civil) 554 of 2021) Shri/Smt/Kum «» S{w/d of Shi... sn RYO (address of the deceased at the time of death) expired on ........ (date of death) at place of occurrence of death). This death is registered vide registration number............in the office of Registrar of Births and Deaths ... .. (Address of local registrar as per death certificate). The Covid-19 Death Ascertaining Committee (CDAC) hereby certifies that the said person “Died due to COVID-19”, Name and signature of the Chairman of CDAC Place of issue..... Date of issue..