Receipt of body at morgue
The body of (name) was received at a time, A.M. or P.M., on a date, followed by a signature.
SF523A
Disposition of Body
- Agency
- GSA
- Revision
- Rev. 12/1993
- Fillable fields
- 25
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
Standard Form 523-A (SF 523-A): Disposition of Body
Standard Form 523-A (SF 523-A), Disposition of Body, is a one-page medical record printed as STANDARD FORM 523-A (REV. 12/93). Its footer says it is prescribed by GSA/ICMR and cites FRMR (41 CFR) 201.5-202.1, and GSA hosts a copy in its forms library.
The form has three parts. Receipt of Body at Morgue records the name, the time and date the body was received, and a signature. Certificate of Removal records the name, the undertaker's name and address, the time and date of removal, and the signatures of the person releasing the body and the undertaker's representative. A physician's statement on the condition of the remains as released, which the form says shall be completed only when specifically ordered, includes a yes or no question on a medical implant that may include a battery or power cell.
A patient identification block with register and ward numbers ends the page. You can fill it out free in your browser on this page and download the result without an account.
What's on SF 523-A
Certificate of removal
The body of (name) was removed by (name and address of undertaker) at a time, A.M. or P.M., on a date, with two signatures.
Physician's statement
The condition of remains as released: post-mortem, surface discolorations, abrasions, lesions, whether remains were embalmed, and similar details.
Medical implant question
THIS BODY CONTAINS A MEDICAL IMPLANT WHICH MAY INCLUDE A BATTERY OR POWER CELL, with YES and NO boxes.
Patient's identification
Name (last, first, middle), grade, date, and hospital or medical facility, with register and ward numbers.
How to fill out SF 523-A
- 1
Record the receipt
Enter the name, the time with A.M. or P.M., and the date the body was received at the morgue, then sign.
- 2
Record the removal
Enter the name, the undertaker's name and address, and the time and date of removal.
- 3
Both sides sign
The person releasing the body to the undertaker and the undertaker's representative each sign.
- 4
Physician's statement, only if ordered
When specifically ordered, the physician describes the condition of the remains, marks the medical implant question yes or no, and signs.
- 5
Identify the patient
Complete the patient's identification block with the register and ward numbers.
These steps follow the order of the sections on the page.
Why fill Form SF523A on indox
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- The official blank straight from the GSA, not a copy someone retyped
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Where it goes and what the form says
Where it goes
The PDF prints no filing address. It is labeled Medical Record, and the identification block names the hospital or medical facility.
Physician's statement
The form says the following statement shall be completed only when specifically ordered.
Prescribing note
The footer says it is prescribed by GSA/ICMR and cites FRMR (41 CFR) 201.5-202.1.
Copies
The top of the form says Authorized for Local Reproduction.
Related forms
Who signs SF 523-A?
The form prints a signature line for each step of the body's release.
Official sources and the blank
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Questions about Form SF523A
Who issues SF 523-A?
The footer says it is prescribed by GSA/ICMR and cites FRMR (41 CFR) 201.5-202.1. GSA hosts a copy in its forms library, printed as STANDARD FORM 523-A (REV. 12/93).
Who signs SF 523-A?
A signature for the receipt at the morgue, the person releasing the body to the undertaker, the undertaker's representative, and a physician when the physician's statement is ordered.
Is the physician's statement always completed?
No. The form says the statement shall be completed only when specifically ordered.
What does the physician's statement describe?
The condition of remains as released, for example post-mortem, surface discolorations, abrasions, lesions, and whether remains were embalmed.
What does the medical implant question ask?
Whether the body contains a medical implant which may include a battery or power cell, answered yes or no. The form gives no further instruction about it.