User Accounts

Click Here for Participation Agreement Form

Additional instructions for Completing and Submitting an EDRS Participation Agreement are located here.

Funeral Directors: submit your completed Participation Agreement to the local health department where the CA-EDRS has been implemented, where they will endorse your Participation Agreement and forward it to the CA-EDRS Application Support Office.
Funeral Home Organization User Permissions are available in PDF format here

Medical Facility/Hospitals: submit their Participation Agreements to the local health department where the CA-EDRS has been implemented, where they will endorse your Participation Agreement and forward it to the CA-EDRS Application Support Office.
Medical Facility Organization User Permissions are available in PDF format here

Local Health Department's and Coroner's offices: should submit their Participation Agreements directly to the CA-EDRS Application Support Office.
Local Registrar User Permissions are available in PDF format here
Coroner Organization User Permissions are available in PDF format here

CA-EDRS Project
Attention: Application Support Desk
MS 5103
P.O. Box 997410
Sacramento, CA 95899-7410

Or send in by fax: Attention CA-EDRS Application Support Desk @ (916) 552-8193

Click Here For Account Maintenance Form

Examples of intended use are:

when a user leaves an organization

when a user's information needs to be updated

when a user's account needs to be disabled

Send in by fax: Attention CA-EDRS Application Support Desk @ (916) 552-8193

Click Here For EDRS Modification Request (EMR) Form NEW

Use this form to request a change to the CA-Electronic Death Registration System (EDRS).
Print, complete, and fax this form to the EDRS Help Desk at (916) 323-2299.