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State of Ohio
COVID-19
Fatality Management
Response Plan

December 2020 v1.19

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Working Group and Plan Development Members

Thank you to the following workgroup and plan development members. This group has participated in
virtual conference calls working groups, and plan review to ensure that this mission can be completed to
support the state of Ohio.

Tamara McBride, Ohio Department of Health

Stephanie Poling, Ohio Department of Health
Karen Sorrell, Ohio Department of Health
Daniel Burleson, Ohio Department of Health
Judy Nagy, Ohio Department of Health
Holly Welch, Ohio Emergency Management Agency
Andrew Elder, Ohio Emergency Management Agency
Matthew W. McCrystal, Ohio Emergency Management Agency
Nedra Havens, Ohio Emergency Management Agency
Gary Lehman, Ohio Emergency Management Agency
Jack Smith, State Fire Marshal
David Corey, Ohio State Coroners Association
Dr. Kent Harshbarger, Montgomery County Coroner’s Office
Robert Hunkeler, Montgomery County Coroner’s Office
Melinda Craig, Department of Administrative Services
Anne M. Petit, Ohio Department of Commerce, Cemetery Commission
Jarod Williams, Ohio Board of Funeral Directors and Embalmers
Cheryl Grossman, Ohio Board of Funeral Directors and Embalmers
Melissa Sullivan, Ohio Funeral Directors Association
Gary Burr, Ohio Funeral Directors Association
David Hicks, Ohio Embalmer’s Association
LTC Jeremy Grunenwald, Ohio National Guard
LTC Daniel Davis, Ohio National Guard
CPT Mary Kauffman, Ohio National Guard
SMSgT Nicolas Ebert, Ohio National Guard
Christina Robinson, Ohio Department of Rehabilitation and Corrections

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Executive Summary and Operational Overview

The State of Ohio COVID-19 Fatality Management Response Plan was developed specifically for
response to the COVID-19 incident. The following information provides an overview of operational
locations and processes. Due to the nature of the incident, this plan is expected to adapt to meet the
needs of the incident.

Mass Fatality Response Objectives:

1.) Support the timely and efficient coordination of state and federal fatality management assets
through the utilization of established resources and emergency management processes.
2.) Support the expansion of local level morgue capacity through the mobilization of cooling assets.
3.) Support local-level dignified transport of human remains to zone attentive care facility(s) when
local surge capacities have been exceeded.
4.) Synchronize local, state and federal efforts and resources in support of mass fatality
management actions.

Statewide support strategies:

Through collaboration with statewide stakeholders, two (2) overarching state strategies, hereafter
referred to as Phases, have been developed to support local level response and recovery.

 Phase 1- Local Capacity Expansion

Rationale: Local entities involved with death care (funeral homes, coroners, and hospital) may have
limited storage capacities. Most death care locations routinely operate with the ability to support
small scale storage or acute incidents. Prolonged incidents to include pandemics may exhaust local
storage capacities

 Phase 2- Attentive Care Facility Operations

Rationale: Attentive care facilities are designated storage sites equipped to temporarily hold
decedent remains when local level decedent storage capacities are exceeded in a worst-case
scenario mass fatality event.

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Leverage of existing State processes:

The State’s COVID-19 Zone model has been applied to mass fatality planning. The below represent the
three (3) Zones in Ohio.
Zone 1 Zone 2 Zone 3

Community partners within the state’s three (3) Zones have been provided refrigerated trucks or ODH
mobile cooling units as part of Phase 1 of this plan. Phase 2- Attentive Care Facility Operations are only
initiated if the Governor’s office has approved a pre-emptive activation due to quickly diminishing
resources of local, state and federal assets.

Emergency Support Function 8-Public Health and Medical, Mass Fatality Branch as well as, state
Emergency Operations Center (EOC) partners will sustain situational awareness of ongoing tactical
operations at the local level through the monitoring of mass fatality missions as detailed in this plan

Partnered Local Entities:

Table 1 summarizes the local entities that have agreed to support Phase 1. This list will continue to
evolve as state and local entities form partnerships to support Phase 1 operations.

Table 1. Partnered Local Agencies as of December 18th, 2020

Zone Zone Coroner Asset Location/ Contact Mobilized State Storage

Information Asset Capacity
Zone 1 Allen County Coroner Lima, Ohio 45802 1 – 40’ Shipping 18 Decedents
Container 54 Decedents
w/Racks
Zone 1 Cuyahoga County Cleveland, OH 44106 2 – 40’ Shipping 18 Decedents
Coroner Container 54 Decedents
Cleveland, OH 44107 w/Racks Each

Zone 1 Lucas County Coroner Toledo, OH 43614 1 – 53’ Semi-trailer 24 decedents

72 w/racks
Zone 1 Stark County Coroner Canton, OH 44705 1 – 24’ ODH Mobile 18 Decedents
Morgue
Zone 2 Athens County Coroner Athens, Ohio 45701 1 – 40’ Shipping 18 Decedents
Container 54 Decedents
w/Racks

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Zone 2 Crawford County Bucyrus, Ohio 44820 1 – 40’ Shipping 18 Decedents

Coroner Container 54 Decedents
w/Racks
Zone 2 Guernsey County Cambridge, OH 43725 1 – 24’ ODH Mobile 18 Decedents
Coroner Morgue Each

Zone 2 Union County Coroner Marysville, OH 43040 1 – 40’ Shipping 18 Decedents

Container 54 Decedents
w/Racks
Zone 3 Brown County Coroner Georgetown, Ohio 45121 1 – 40’ Shipping 18 Decedents
Container 54 Decedents
w/Racks
Zone 3 Montgomery County Vandalia, Ohio 45377 2 – 53’ Semi-trailer 24 decedents
Coroner 72 w/racks
Each

Should additional storage containers need to be mobilized to the above partners or newly identified
local partners, ODH has additional mobile cooling units to support the expansion of storage capacity.
These assets have not been mobilized but can be within a 24-hour notice depending on the type of asset
needed. Additional cooling units can be requested by the state to the contracted vendor to support the
current fleet. These avenues will be pursued to sustain Ohio within a Phase 1 response to fatality
management.

Phase 2- Attentive Care Facilities

Attentive care facilities have been identified within each zone to accommodate a worst-case scenario
surge of decedents when state and federal assets have been exhausted.

Zone 1: Cuyahoga County, Cleveland State University

Note: A contingency site for Cuyahoga County has been identified should for any reason, Cleveland
State University be unavailable for operations.

Zone 2: Franklin County, Ohio State Fairground (Pending)

Zone 3: Montgomery County, Dayton Airport (Pending)

Phase 2- Attentive Care Facility Staffing

Ohio EMA and The Ohio National Guard (OHNG) have been identified to support operations at attentive
care facilities. Their roles within the sites are to support decedent tracking, documentation and to
facilitate the transport of remains in the event local resources (livery services, funeral homes, etc.)
become overwhelmed and cannot transport decedents to the zone sites. Efforts have been made to
ensure processes for in-take and pick-up of decedents are dignified and ensure proper tracking of each
decedent.

Figure 1: Attentive Care Facility locations

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As of:

December 2020 Zone 1 Facility

Cleveland State University
Location Cuyahoga County
Type Attentive Care Facilty
Capacity 250+ Remains
Status Assessed / Selected / Standby
Zone 3 Facility
Dayton International Airport
Location Montgomery County
Zone 1 Facility - Contingency Site
Type Attentive Care Facilty
Cuyahoga Fairground
Capacity 500+ Remains
Location Cuyahoga County
Status Assessed / Selected / Standby Type Attentive Care Facilty
Capacity 250+ Remains
Status Assessed / Selected / Standby

Zone 2 Facility
Ohio State Fairground
Location Franklin County
Type Attentive Care Facilty
Capacity 1000+ remains
Status Assessed / Selected / Standby

Stakeholder Engagement:

The established statewide Mass Fatality Workgroup membership has been critical to the development
of the two (2) phase strategy within the COVID-19 Fatality Management Plan. Workgroup members have
supported the workgroup strategy, as well as supported the communication of death care and fatality
management guidance to their local stakeholders.

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Contents
Working Group and Plan Development Members ................................................................................... 2
Executive Summary and Operational Overview ........................................................................................ 3
Purpose ..................................................................................................................................................... 9
Scope ........................................................................................................................................................ 9
Situation.................................................................................................................................................... 9
Statewide Decedent Storage Capacity ..................................................................................................... 9
Planning Assumptions ............................................................................................................................ 10
Command and Coordination: Operations Leadership and Staffing ....................................................... 10
Operational Structure ............................................................................................................................. 10
Liaisons ................................................................................................................................................... 11
Information Sharing ................................................................................................................................ 11
Local Level Requests for Fatality Management Resources .................................................................... 11
PPE Conservation .................................................................................................................................... 11
Risk of Infection from Decedents ........................................................................................................... 11
Death Registration and Certificates........................................................................................................ 12
Phase 1- Local Capacity Expansion ......................................................................................................... 12
Request for Federal Resources ............................................................................................................... 13
Phase 1- Deathcare request for additional storage................................................................................ 13
Phase 1- Coordination Process ............................................................................................................... 13
Phase 1- Mobile Surge Storage Tracking ................................................................................................ 14
Phase 1- Zone Asset Coordination .......................................................................................................... 14
Phase 2- Attentive Care Facility Operations ........................................................................................... 14
Phase 2- Partner Notification for Attentive Care Facility Activation ...................................................... 14
Phase 2-Attentive Care Facility Staffing ................................................................................................. 15
Behavioral Health ................................................................................................................................ 15
Phase 2- Decedent Mission Request ...................................................................................................... 15
Phase 2- County EMA, Death Care and State EOC Coordination ........................................................... 15
Phase 2- Attentive Care Facility Transport ............................................................................................. 16
Phase 2- Attentive Care Facility Intake Process...................................................................................... 16
Phase 2- Attentive Care Facility Reporting ............................................................................................. 17
Phase 2-Attentive Care Facility Decedent Pick-up ................................................................................. 17
Phase 2- Attentive Care Facility Demobilization .................................................................................... 17

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After Action Report................................................................................................................................. 18

Appendix 1- Estimated Local Storage Capacity and Licensed Deathcare Staff by County ..................... 19
Appendix 2- County EMA Guidance for Refrigerated Zone Assets/Zone Coroners ............................... 22
Appendix 3- Decedent Storage Guidance for Local Death Care ............................................................. 23
Appendix 4- Deathcare Guidance for Healthcare Facilities .................................................................... 26
Appendix 5-Coroner Guadance for Local Death Care............................................................................. 28
Appendix 6- Leased Refrigerated Mobile Asset Location and Contact Info. .......................................... 31
Appendix 7- Proposed Chain of Command Form ................................................................................... 32

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Purpose
This plan will outline the state-level response to a COVID-19 related mass fatality surge. A COVID-19 pandemic within the state of
Ohio could quickly overwhelm local hospital morgues, hospitals, coroner’s offices, and funeral homes. The state EOC has
established a COVID-19 mass fatality workgroup to include death care representatives and state agencies to collaborate,
coordinate, and procure resources for the support of fatality management in the state of Ohio due to the COVID-19 pandemic.

Scope
This plan provides an overview of the two-phased state COVID-19 fatality management strategy with detailed information
regarding the concept of operations statewide for the dignified storing of decedents.

Situation
In December 2019, reports of atypical pneumonia were reported from Hubei Providence in Wuhan, China. In response to the
outbreak, China implemented unprecedented measures in broad business, education and border closures. Business closures in
China directly impacted critical resource supply-chains resulting in shortages in personal protective equipment (PPE) to include N95
and surgical masks, gowns, gloves etc. COVID-19 is characterized as a severe upper respiratory disease causing acute respiratory
distress syndrome (ARDS) in individuals with compromised immunity or individuals, or individuals with comorbidities. Risk factors
for COVID-19 continue to be studied, as some healthy adult, and children have contracted and succumbed to the disease.

In March 2020, the WHO formally characterized the COVID-19 epidemic as a pandemic and has then impacted more than 204
countries and territories worldwide.

As businesses and manufacturing plants of PPE reopen around the world, production of these critical resources is slowly
replenishing the market. In Ohio, PPE remains in low quantities due to earlier global supply-chain disruption worldwide. However,
the state of Ohio has worked to meet local requests for critical resources and has simultaneously begun stockpiling PPE to support
future COVID-19 needs, should it be necessary. As of July 2020, the state of Ohio has reported over 3,000 COVID-19 deaths. While
the state’s ability to manage COVID-19 related deaths has not been exhausted, state of Ohio partners remain in a readiness
posture to support local level stakeholders responding COVID-19 sudden surges in death.

Statewide Decedent Storage Capacity

Local entities to include local hospitals, coroners, funeral homes (deathcare stakeholders) may have storage capabilities within
their facilities to accommodate a small quantities of surge decedent storage. Local storage capacities should always be the first
option prior to requesting state assistance. Many local jurisdictions have taken measures to support surge capacity including
partnering with other local partners to include higher education (medical and mortuary schools) or have procured refrigerated
trailers (reefer trucks) to expand their storage capabilities.

Appendix 1- Estimated Local Storage Capacities by County provides an overview of self-reported decedent storage capabilities.

For more information, visit:

coronavirus.ohio.gov
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Planning Assumptions
The following are planning assumptions that will guide the response phases detailed in this plan:

 Bodies in temporary storage may not have succumbed to COVID-19 but may have died as a result of other causes.
 Widespread PPE shortages will impact mortuary services providers requiring conservation of PPE and use of alternative
materials (e.g., rubber kitchen gloves, raincoats, etc.) in place of traditional PPE.
 CDC guidance will be followed for all PPE and remains-handling to ensure the health and safety of responders.
 Many of the COVID-19 deaths will have secondary health issues that have compromised the immune system.
 Body bags will remain available to support the transport and storage of decedent’s remains.
 The Ohio National Guard will be available to support attentive care operations upon Phase 2 stand-up.
 Deathcare may experience staffing shortages statewide due to illness or other pandemic impacts.
 Overwhelmed Rural areas may require additional support for the transportation of decedents to attentive care facilities, if
operationalized.
 Major metropolitan areas are expected to have higher volumes of fatalities due to population size.

Command and Coordination: Operations Leadership and Staffing

In accordance with the Ohio Revised Code 5502.28(C) and national response framework, the command and control/coordination
(C2) for this response will follow the national incident management system (NIMS) as the standard procedure for incident
management. The following C2 organization is developed based on federal NIMS and incident command system guidance. A mass
fatality branch and a group supervisor system is outlined below (Figure 3).

Operational Structure Figure 2. State EMA and Fatality Management Structure

Figure 2 (Right) depicts integration Integration
of mass fatality operations within State EOC

the state emergency operations EOC Director

center for COVID-19. Serving within

ESF#5 ESF#15 ESF#8
Emergency Support Function #8-
Ohio EMA Ohio EMA ODH
Public Health and Medical (ESF-8) in
the mass fatality capacity is the Fatality Mgmt.
Branch
Mass Fatality Branch Director. Director

The Mass Fatality Branch Boards,

PIO Liaison
Associations, etc
Workgroup ODH
The Mass Fatality Branch is led by
the Mass Fatality Branch Director. SMEs
The Mass Fatality Branch Director is Workgroup

a state employee with mortuary

services experience and/or C2 Planner

expertise. The Mass Fatality Branch OHNG Ohio EMA

Director will oversee operations and

Transportation Mortuary Religious Support Safety Admin
report on activities of both Phases OHNG OHNG OHNG OHNG OHNG
outlined in this plan.
North Team South Team
Representatives from ODH, and OHNG OHNG
Ohio EMA will be available to

For more information, visit:

coronavirus.ohio.gov
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support mass fatality operational planning, support communication of policy needs, coordinate guidance and recommendations to
local stakeholders, and support operations with the securing of MOUs, and state procured assets.

Public Information Officer

ODH will provide the PIO officer to field questions and address the media on mass fatality matters. The PIO may be located within
the JIC or on-site depending on the nature of the incident and need for support

Administrative Support

Attentive care facility administrative support will be provided by Ohio EMA planning staff. Staff in this role will support
documentation, WebEOC reporting, delivery and transport coordination, and support OHNG with site planning.

OHNG

All attentive case site logistics to include coordination of on-site operations, decedent tracking, transportation and movement of
decedents will be accomplished by OHNG.

Liaisons
Members of the Mass Fatality Workgroup comprise regulatory bodies and associations with stakeholders in the deathcare
industry. Liaisons from the mass fatality workgroup support incident planning, information sharing amongst partners, provide a
level of situational awareness on fatality management matters in the state. When this plan is operations, liaison provide the
following support:

 Development and implementation of emergency rules and waivers as recommendation for funeral services.
 Review of cemetery availability, or emerging issues surrounding the cemetery industry.

 Support the development and distribution of guidance and information

Information Sharing
A dashboard has been developed by the Ohio EMA to maintain situational awareness on staged state mobile morgues and their
census and capacity level. This dashboard may be projected on the display screen located in the State EOC. The dashboard is
maintained by ESF-8.

Local Level Requests for Fatality Management Resources

Local level deathcare stakeholders may require support outside of decedent storage to include mortuary supplies such as body
bags, or PPE. Deathcare stakeholders are encouraged to work closely with their local emergency management agencies (County
EMAs) to ensure that they are included in their county’s allocations. During the COVID-19 response, the State of Ohio, has
recognized deathcare workers as critical occupations requiring PPE in a scarce resource environment. By ensuring deathcare
workers have access to PPE, workers can safely handle and/or processing decedents.

PPE Conservation
Early in the 2020 COVID-19 response, conservation of PPE was encouraged widely. Should PPE once again experience supply-chain
disruptions or experience extreme shortages, guidance for conserving PPE will be widely communicated throughout the Ohio
Deathcare industry. Conservation strategies may include the use of alternatives to include raincoats, dishwashing gloves, and other
untraditional and reusable equipment to protect workers from aerosolized droplets that may spread COVID-19 infection.

Risk of Infection from Decedents

The risk for COVID-19 infection from a decedent is at its highest when a deathcare workers performs aerosolized generating
procedures such as an autopsy procedure, or transfer of a decedent from a facility or gurney. Guidance has been provided through
a collaboration of the Mass Fatality Workgroup. See Appendix 3- Death Care Guidance for Facilities and Funeral Directors.
For more information, visit:
coronavirus.ohio.gov
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Handling a decedent that has been moved into a body bag presents a low risk of infection. However, in an abundance of
precaution, staff handling body bags as part of the phased strategies outlined within this plan should follow, infection prevention
protocols to include:
 Disinfecting the outside of the body bag with an all-purpose cleaner
 Wearing gloves when touching the outside of a body bag
 Thoroughly washing hands after handling body bag

Death Registration and Certificates

Filing of a death certificate should be completed by the funeral director using the e*filing workflow guidance that has been
provided by the Bureau of Vital Statistics (ODH/VS) for the appropriate local vital statistics office. Funeral directors should refrain
from mailing in completed certificates so the event can be filed faster. In the case where the local vital statistics office cannot
appropriately staff their office for an extended amount of time (2 weeks or greater), the local vital statistics office will collaborate
with (ODH/VS) to ensure that all electronically filed certificates can be issued to the funeral home via an online ordering/mail out
process which will be managed by the ODH/VS staff.

Phase 1- Local Capacity Expansion

Phase 1 comprises the expansion of available decedent storage assets. The overarching goal of Phase 1 is to sustain response at the
local level by continuing to expand local storage capacity through the staging and provision of mobile cooling units or refrigerated
trailers to local deathcare stakeholders.

Figure 1. Details the current and planned locations of pre-staged state assets to support local capacity expansion.

Figure 1. Phase 1 and Phase 2

assets

For more information, visit:

coronavirus.ohio.gov
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Request for Federal Resources

In addition to the assets procured by ODH, the state may retain additional resources through existing contracts, or obtain
additional refrigerated trailers through federal asset requests. Requests for federal assets are initiated by the ESF-8 desk through
the State EOC byway of a Resource Request Form (RRF). Federal requests may be filled upon need, only after state efforts to
procure resources have been exhausted.

Newly mobilized resources, regardless if the resources are state-owned or federal, will be communicated to County EMA’s, county
coroners, regional healthcare coordinators, and clinical zone leads within the receiving zone.

Phase 1- Deathcare request for additional storage

Local partners have pre-existing relationships and many, to include deathcare stakeholders already regularly share local resources.
When a local death care stakeholder does not have sufficient refrigerated storage. The deathcare stakeholder should contact their
County EMA for storage support. See Appendix 3- Decedent Storage Guidance for Local Deathcare Partners.

The following details the abbreviated process in Figure 2. Phase-1 Local Capacity Expansion. By contacting the County EMA, the
EMA partner is (1) made aware of a shortage within the respective jurisdiction, and (2) prompted to inquire on the availability of
storage within the state’s pre-positioned asset.

Phase 1

Local Capacity Expansion

After exhausting local County EMA facilitates Death Care Stakeholder

mutual aid and surge connecting death care transports decedent(s) to
capacity, Death Care stakeholder with pre-staged Zone Morgue.
Stakeholder identifies need available zone morgue
for additional decedent capacity.
storage and calls Local
Emergency Management
Agency (County EMA).

County EMA will work with the

County EMA calls Zone Zone Coroner meets
Zone Coroner(s) to confirm space
Coroner to see if there is local deathcare stakeholder to
availability in the state’s pre-
or regional availability. store decedent(s). Zone
staged mobile asset(s).
coroner will work through
County EMA on reporting
zone morgue capacity to state
EOC dashboard.

Phase 1- Coordination Process

Coordination and decedent tracking in Phase 1 will take place solely at the local level. County EMA will facilitate coordination with
the zone coroner (coroner hosting the state asset) and death care stakeholder with decedent storage needs. Once County EMA
confirms availability in zone morgue, County EMA will connect the local deathcare stakeholder with the appropriate zone coroner
so that storage arrangements can move forward.

The following information will be useful/necessary to facilitate coordination between the death care stakeholder and zone
coroner:

For more information, visit:

coronavirus.ohio.gov
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Funeral Home, etc.:

1. Point of Contact
2. Number of decedents requiring storage
3. Whether the need for storage immediate, or best time to transport the remains.

Zone Coroner:

1. Point of contact name and phone number

2. Address where the refrigerated asset is located
3. And time that the zone coroner (or designee) can be available to accept remains for storage
4. Remind the death care partner:
a. No personal effects allowed to accompany the decedent
b. Decedent must be properly tagged containing the decedents full name, associated funeral home name and contact
information
c. Decedent must be in a body bag
d. All decedents must be embalmed

Phase 1- Mobile Surge Storage Tracking

Zone Coroners will work through County EMA to maintain situational awareness and report regular status updates on decedent
census and capacity remaining in temporary mobile cooling units. Census and capacity updates will be provided to the state EOC
through the state EOC provided reporting tool.

Refer to Appendix- 4: County EMA Guidance for Refrigerated Zone Assets, for details.

Phase 1- Zone Asset Coordination

Zone coroners accepting temporary storage of decedents from death care partners will follow chain of custody procedures and
ensure decedents are properly tagged to include the below:

 Name of attending funeral home

 Tag containing decedents full name (Last Name, First Name, Middle Initial)
 Birth Date
 Death Date
 Last 4 SSN

Zone coroners may issue Appendix 7 – Attentive Care Facility Custody Form as a receipt for the deathcare partner to account for
the decedent.

Phase 1- Decedent Pick-up from Zone Asset

When the death care partner is ready to pick-up the decedent from the zone coroner’s refrigerated asset, the death care
stakeholder will contact the zone coroner to coordinate details of the pickup.

Phase 2- Attentive Care Facility Operations

A worst-case scenario for Ohio is defined in this plan as an environment where all local, state and federal resources are projected
to be exhausted or have been exhausted. ESF-8 will assess the availability or resources to support the jurisdiction/zone with
additional refrigerated assets. However, if there is diminishing quantities of these assets available, attentive care facilities will be
considered for activation. Attentive Care Facilities are climate-controlled facilities identified within each respective operational
Zone within the state.

For more information, visit:

coronavirus.ohio.gov
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Attentive care facilities may be activated pre-emptively to address a diminishing storage capacity. The Mass Fatality Branch
Director, upon assessment of increasing death counts and diminishing availability of refrigerated assets, can make the
recommendation for activation to response and state leadership for approval.

Note: Decedents that have not been embalmed will not be handled or stored by the state of Ohio.

Phase 2-Attentive Care Facility Staffing

The Ohio EMA and OHNG Fatality Search and Recovery Team (FSRT) will staff the activated attentive care facility, and can support
three (3) sites simultaneously, if necessary. Ohio EMA will provide personnel to support OHNG with administrative duties and
WebEOC tracking.

Behavioral Health
Chaplains will be made available through OHNG engagement. Additionally, counseling services will be made available for
responding state of Ohio employees through Ohio Mental Health and Addiction Services throughout the COVID-19 response.

Phase 2- Attentive Care Facility Activation Approval

The Mass Fatality Branch Director will notify state EOC executive staff, of the need for an attentive care facility. The governor’s
office will be contacted and briefed on the current situation and details warranting an attentive care facility activation approval.

The governor’s office will be the final approval entities for facility activate.

Phase 2- Partner Notification for Attentive Care Facility Activation

When a Zone’s Attentive Care Facility has been activated. The following partners must be notified immediately by the quickest
means available by the an ESF-8 representative or designee

o OHNG Command
o ODH Public Information
o All Mass Fatality Working Group Partners
o Local death care stakeholders and EMA

Phase 2-Decedent Storage Mission Request

When all support for decedent storage is exhausted at the local level, the County EMA will engaged the state EOC to submit a
mission request detailing the following information:

 Subject: Zone (#) Phase 2 Decedent Storage – Originating County Name

 What: Zone storage for (#) decedents
 Decedent(s) associated with: Deathcare Stakeholder Name (funeral home, county coroner or hospital), contact information
 If transportation support is required

Phase 2- County EMA, Death Care and State EOC Coordination

After receiving a mission request for decedent storage support, ESF-8 Mass Fatality Branch will notify the requesting County EMA
and provide an estimated timeframe for next steps of operations.

ACF support staff will liaise with death care stakeholders originating the mission request for decedent storage. ACF staff will call
death care stakeholders and will make necessary arrangements for in-take process with the local death care stakeholder to include
appointment setting, provision of directions for arrival or transportation arrangements.

For more information, visit:

coronavirus.ohio.gov
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Phase 2- Attentive Care Facility Transport

Death care stakeholders will be expected to transport decedents to attentive cares facilities if available to do so. However, the
State of Ohio recognizes an overwhelming surge may prevent the ability for this transport to take place due to funeral home
demands or shortages in staffing. In a surge environment that strains the death care industry, the state is prepared to support the
transport of decedents to attentive care facilities. Arrangements for pick-up will be coordinated through ACF staff in support of
mass fatality operations.

State assigned transportation teams (OHNG or through ESF-1) requires deployment of two (2) vehicles for operations 1) lead
tractor with cooling unit and 2) a chase vehicle.

Phase 2- Attentive Care Facility Intake Process

The process of tracking decedents at the Attentive Care Facility will follow the below procedure:

1) Upon arrival at the Attentive Care Facility, death care stakeholders shall follow posted directives to the offload area.
Drivers shall remain in their vehicle while inside in the offloading by ACF personnel.
2) Upon arrival to the Attentive Care Facility (or upon pickup by state or state contractor at the local site) the ACF personnel
will confirm the identification tag affixed to the body bag with the appropriate criteria to include
a. First initial
b. Middle initial
c. Last name
d. Name of funeral home, hospital or coroner
3) The death care stakeholder will be provided a chain of custody form to sign to verify the body has been received and is
now temporarily in state custody.

Figure 2. Phase 2-Attentive Care Facility Utilization Drop Off

ACF staff will contact

Based on Zone Coroner’s County EMA informs deathcare deathcare stakeholder to
census report in state stakeholder that ACF is coordinate arrangements for Decedents are accepted at
provided mobile assets, operational intake of decedents the ACF and stored for final
determination is made to
activate an Attentive Care disposition at a later date
Facility (ACF)

ESF-8 Mass Fatality
Branch requests and
receives approval to
activate ACF
Local deathcare
ESF-8 Mass Fatality Branch
stakeholders or OHNG Mission remains open until
informs County EMA that ACF is
transports decedents all decedents are retrieved
operational
to ACF for final disposition
County EMA informs deathcare
stakeholder that ACF is
operational

For more information, visit:

coronavirus.ohio.gov
 P a g e | 17

Phase 2- Attentive Care Facility Reporting

ACF support staff at the Attentive Care Facilities will support the reporting of decedents within the facility. A mass fatality event
requiring the utilization of an attentive care facility will be extremely sensitive and will receive many status update requests from
executive staff to include the Governor’s Office. Due to the nature of this incident, attentive care staff must be ready to report on
decedent occupancy of the facility regularly.

Phase 2-Attentive Care Facility Decedent Pick-up

To arrange for decedent remains pick-up, the death care stakeholder will contact the attentive care facility administrative staff
through the provided 1-800 line to request an appointment for pick-up.

Figure 3. Phase 2-Attentive Care Facility Utilization Pick-Up

Phase 2

Attentive Care Facility Utilization

Pick-Up

Deathcare stakeholder
retrieves decedent from ACF

Deathcare stakeholder
calls ACF 1-800# to arrange WebEOC is updated to
transportation date/time reflect census at ACF/state
EOC dashboard

Once arrangement made for pickup, the death care stakeholder will arrive to the appropriate loading area of the attentive care
facility. The death care stakeholder is expected to remain in their vehicles while ACF staff retrieves the appropriate decedent
remains. During this time the death care stakeholder will be asked to sign-in. The decedent will be loaded into the stakeholder’s
vehicle after having the both the state tag and funeral home tag cross-verified with the chain of custody form. ACF staff will sign
the chain of custody form returning rights to the death care stakeholder.

Upon completion of decedent pick-up staff at the attentive care facility report census data and capacity status updates for the
state EOC dashboard.

Phase 2- Attentive Care Facility Demobilization

The following thresholds will be utilized to guide the Fatality Management Branch Director in making the recommendation to state
EOC leadership to begin the mobilization process:
 No remains onsite
 No mission requests
 ODH confirms the curve is in the deceleration phase
 Alternate Care Sites are demobilizing
For more information, visit:
coronavirus.ohio.gov
 P a g e | 18

 Statewide COVID-19 deaths-per-day are declining

 Situational need
 Ability of zone coroner assets to maintain decedent volume

Demobilization may include but is not limited to:

 Returning the building to its original condition

 Removing all equipment
 Accounting for all staff
 Decontamination/cleaning
 ACF staff - Documentation

After Action Report

Should this plan become fully operational whether in Phase 1 and/or Phase 2, a hot-wash will be conducted to include all mass
fatality workgroup partners, involved executive leadership, and ESF-8 staff for contribution to the after-action report. Finding from
the after-action report may be utilized revision of this plan, and other state mass fatality plans.

For more information, visit:

coronavirus.ohio.gov
 P a g e | 19

Appendix 1- Estimated Local Storage Capacity and Licensed Deathcare Staff by County
County Cumulative Cumulative Cumulative Cumulative Cumulative Funeral Home
Licensed Licensed Licensed Funeral Maximum Storage Capacity
Funeral Crematory Embalmers Homes
Directors Operators Associated with
with Funeral Storage
Home
Locations
Adams 5 0 4 1 2
Allen 17 12 15 1 31
Ashland 11 2 11 0 0
Ashtabula 22 15 18 7 24
Athens 19 4 8 3 19
Auglaize 15 12 8 3 50
Belmont1 23 3 17 5 22
Brown 10 0 8 3 7
Butler 36 2 31 7 33
Carroll 3 0 2 1 6
Champaign 2 0 1 0 2
Clark 18 10 15 4 27
Clermont 232 3 21 3 25
Clinton 10 1 7 1 3
Columbiana 26 4 21 7 19
Coshocton 4 3 4 1 2
Crawford 7 0 6 3 9
Cuyahoga 1613 26 79 23 148
Darke 13 0 11 1 3
Defiance 3 2 3 0 0
Delaware 8 9 8 3 28
Erie 11 7 7 3 10
Fairfield 15 9 14 4 37
Fayette 4 0 3 0 0
Franklin 106 47 73 14 149
Fulton 11 9 10 2 8
Gallia 11 3 10 3 6
Geauga 7 1 4 1 3
Greene 16 2 13 1 22
County Cumulative Cumulative Cumulative Cumulative Cumulative Funeral Home
Licensed Licensed Licensed Funeral Maximum Storage Capacity
Funeral Crematory Embalmers Homes
Directors Operators associated with
with Funeral Storage
Home
locations

1
1 Funeral Home respondent did not answer the questions clearly or correctly which may underestimate the number of these occupations
within the county
2
3 apprentices
3
1 apprentice
For more information, visit:
coronavirus.ohio.gov
 P a g e | 20

Guernsey 10 0 8 1 3
Hamilton 99 20 84 16 238
Hancock 12 6 12 3 8
Hardin 6 0 3 0 0
Harrison 7 0 3 2 5
Henry 10 5 4 1 2
Highland 7 1 7 1 4
Hocking 11 0 6 1 4
Holmes 3 0 3 0 0
Huron 13 0 11 3 8
Jackson 8 2 6 1 8
Jefferson 21 7 19 2 6
Knox 4 1 3 1 3
Lake 41 10 25 7 22
Lawrence 18 4 14 2 8
Licking 12 5 9 2 6
Logan 13 4 9 2 8
Lorain 36 14 26 6 30
Lucas 51 5 39 9 32
Madison 23 16 14 2 12
Mahoning 40 1 29 7 38
Marion 11 0 7 2 32
Medina 19 15 4 3 28
Meigs 10 8 9 1 2
Mercer 11 1 7 1 4
Miami 20 5 17 3 11
Monroe 7 0 3 0 0
Montgomery 84 13 64 9 110
Morgan 2 0 2 0 0
Muskingum 17 8 17 1 3
Noble 2 0 1 1 2
Paulding 4 0 3 1 3
Perry 3 1 3 2 4
Pickaway 6 0 5 0 0
Pike 10 2 10 1 8
Portage 11 5 10 3 25
Preble 9 0 9 1 3
Putnam 7 1 6 0 0
Richland 23 11 22 5 33
County Cumulative Cumulative Cumulative Cumulative Cumulative Funeral Home
Licensed Licensed Licensed Funeral Maximum Storage Capacity
Funeral Crematory Embalmers Homes
Directors Operators associated with
with Funeral Storage
Home
locations
Ross 15 4 12 4 31
Sandusky 11 13 10 4 14
Scioto 13 4 10 3 10
For more information, visit:
coronavirus.ohio.gov
 P a g e | 21

Seneca 16 8 13 2 6
Shelby 9 4 7 1 4
Stark 50 11 32 11 74
Summit 66 19 36 7 70
Trumbull 42 11 35 3 21
Tuscarawas 11 1 7 2 9
Union 7 1 6 0 0
Van Wert 9 2 7 1 7
Vinton 1 0 1 0 0
Warren 19 5 17 3 17
Washington 13 2 11 3 10
Wayne 18 9 17 5 35
Williams 19 13 20 4 16
Wood 16 6 8 2 8
Wyandot 11 0 7 0 0

For more information, visit:

coronavirus.ohio.gov
 P a g e | 22

Appendix 2- County EMA Guidance for Refrigerated Zone Assets/Zone Coroners

CORONAVIRUS DISEASE 2019

For County EMAs: Guidance for Refrigerated Zone Assets/Zone Coroners

The below entities have agreed to host state assets as part of the State of Ohio COVID-19 Mass Fatality Strategies. Given the
evolving situation of the COVID-19 pandemic, this list will be updated as necessary.

Zone 1 Zone 2 Zone 3

Allen County Coroner Athens County Coroner Brown County Coroner

Lima, OH 45802 Athens, OH 45701 Georgetown, OH 45121

Cuyahoga County Coroner Crawford County Coroner Montgomery County Coroner

Cleveland, OH 44106 Bucyrus, Oh 44820 Vandalia, OH 45377

Cleveland, OH 44107

Lucas County Coroner Guernsey County Coroner

Toledo, OH 43614 Cambridge, OH 43725

Stark County Coroner Union County Coroner

Canton, OH 44705 Marysville, OH 43040

For more information, visit:

coronavirus.ohio.gov
 P a g e | 23

Appendix 3- Decedent Storage Guidance for Local Death Care

Coronavirus Disease 2019
Decedent Storage Guidance for Local Death Care

Funeral directors, coroners, and other death-care workers are a critical component in Ohio’s response to the COVID-19 pandemic. Caring for
decedents requires the use of established partnerships and a focused plan. The guidance below is designed to assist in that care should
casualties place strain upon local storage capacity.

A two-phased mass fatality plan has been developed by the Ohio Department of Health in collaboration with members of the State Mass Fatality
Workgroup. Phase 1 expands local decedent storage capacity at the local level by providing cooling units. Phase 2 prepares for a worst-case
scenario in which all storage has been exhausted and decedent remains must be stored in specialized facilities until appropriate burials or
cremations can be arranged. Early during this pandemic, the governor’s office announced the grouping of Ohio’s regions into three zones. The
state of Ohio mass fatality workgroup has placed refrigerated trailers in each zone to support fatality management. Counties corresponding to
the three zones are illustrated below:

Zone 1 Zone 2 Zone 3

Local Storage Assessment

Death-care workers are advised to frequently assess their own resources as well as collaborate with local partners on local storage capacities.
The link below has been developed to help these workers navigate decision-making. Local partnerships should always be explored prior to
making formal requests for assistance to local emergency management agencies (EMAs). To locate your County EMA’s contact information,
please visit https://webeoctraining.dps.ohio.gov/ohiocountyEMADirectorList/countyemalist_web.aspx.

Phase 1
For more information, visit:
coronavirus.ohio.gov
 P a g e | 24

County EMA Engagement

In the event all local decedent storage is exhausted, the death-care stakeholder should contact the local emergency management agency, which
will make a request for the use of the available storage units.

Death-care workers should be ready to provide their County EMA the following information:
 Point of contact.
 Number of decedents requiring storage.
 Whether the need for storage is immediate, or the best time to transport the remains.
Death-care workers are advised to ensure the following:
 No personal effects accompany the decedent(s).
 Decedent(s) are properly tagged with the following information:
o Last name, first name, middle initial.
o Associated funeral home name.
o Funeral home contact information.
o Decedent(s) date of birth and date of death.
o Last four digits of decedent’s Social Security number.
 Each decedent is in a body bag.
o If body bags are needed, inform your County EMA.
 All decedents are embalmed.

Zone Coordination
County EMAs have been provided contact information for each zone and will coordinate requests for death-care storage.

Decedent Pickup
When final disposition (burial or cremation) is arranged, coordination for pickup of the decedent will be made between the local death-care
stakeholder and staff of the storage facility.

Phase 2
Coordination
If there is no availability in storage facilities, a zone attentive care facility (ACF) may be employed to accommodate decedents. Attentive care
facilities are climate-controlled facilities identified for the dignified storage of remains during a mass fatality incident. Decedents will be
temporarily stored in these facilities in a worst-case surge scenario until burial or cremation can take place.

Deathcare stakeholders will coordinate through their County EMA to submit a request for temporary storage at an ACF if it has been determined
that all local efforts have been exhausted and an ACF has been activated. ACF support staff will liaise with death care stakeholders originating the
request for decedent storage. ACF staff will call death care stakeholders using the cellphone and 1-800 hotline number assigned to each attentive
care zone. ACF staff will make necessary arrangements for in-take process with the local death care stakeholder to include appointment setting
and provision of directions for arrival.

Decedent Transport
The local death-care worker shall inform the decedents’ families of the need to store decedents in the zone attentive care facilities.

Funeral directors are advised to prepare a chain of custody for the transfer and to have the following information ready for intake.
 Decedent’s last name, first name, middle initial.
 Associated funeral home name.
 Funeral home contact information.
 Decedent’s date of birth and date of death.
 Last four digits of the decedent’s Social Security number.

For more information, visit:

coronavirus.ohio.gov
 P a g e | 25

In addition:
 No personal effects should accompany decedents.
 Each decedent must be in a body bag.
o If body bags are needed, inform your CountyEMA.
 All decedents must be embalmed.

Resources
 Local emergency management agencies
 Ohio Funeral Directors Association
o OFDAonline.org
o 1-800-589-6332
 National Funeral Directors Association
o nfda.org/covid-19/technical-information
 Centers for Disease Control and Prevention
o COVID-19 and funerals FAQs
o Postmortem guidance

Updated: 12/14/20
 P a g e | 26

Appendix 4- Death Care Guidance for Healthcare Facilities

COVID-19 Death Care

Hospitals, Prisons, Hospice,
Long Term Care, and Nursing Facilities
Guidance on the safer handling of decedents can reduce the risk of exposure for funeral home staff, healthcare staff,
patients, residents, and inmates. The following guidance is based on recommendations from the Ohio Funeral
Directors Association, the Centers for Disease Control and Prevention (CDC), and the Ohio Department of Health
(ODH). Guidance is issued with the understanding that all mentioned resources, such as personal protective equipment
(PPE), may not be readily available. The state of Ohio recommends providing death care as if each decedent could be
COVID-19 positive. Staff should use their best judgment to reduce the risk of exposure when providing death care.

Infection Control
Follow CDC Standard Precautions:

Hand hygiene (washing with soap and water for at least 20 seconds). PPE.
o Minimal: mask and gloves.
o Additional: goggles/face shield and gown, depending on the situation.

Death Certificate
The Ohio Department of Health and the Ohio Emergency Management Agency remind physicians to utilize the
electronic death registration system (EDRS) to ensure death certificates are completed in a timely manner.
Ohio Revised Code 3705.16(C) directs attending physicians to sign death certificates within 48 hours. Ohio physicians
are advised to electronically complete and sign/certify the cause of death for Ohio records in the EDRS. CLICK HERE
FOR TUTORIALS AND INFORMATION ON USING EDRS.

Preparation for Transfer

Follow Standard Precautions, including additional PPE if splashing of fluids is expected.
Note: In coroner cases, medical facilities should seek permission from the coroner’s office prior to
using any disinfectant on the remains themselves.
With the exception of a death deemed to be a coroner’s case, prepare the body for transfer, including removal
of all tubes and lines.
If respiratory infection is the cause of death or suspected, place rolled cotton gauze or cotton balls in
each nostril and oral cavity (if materials are available and staff has capacity to complete). Use a syringe to soak
cotton with a non-bleach-based disinfectant with emerging viral pathogens claims.

Updated: 12/14/20
 P a g e | 27

Cover the decedent’s head with a pillowcase or plastic bag to minimize aerosolized droplets before being placed in a
body bag (if available).
If body bags are not available, the decedent can be completely wrapped in a sheet and moved to the designated holding
area.
Place ID tag (if available) on the outside of the bag. Preferably, tie the two zippers on the body bag together or tape them
to the outside of the outermost sheet wrapping the remains.
After the decedent has been bagged:
Disinfect the outside of the bag with a product with EPA-approved emerging viral pathogens claims expected to be
effective against COVID-19 based on data for harder-to-kill viruses.
Follow the manufacturer's instructions for all cleaning and disinfection products (e.g., concentration, application method,
contact time, etc.)
Wear disposable nitrile gloves when handling the body bag.

Transfer of Decedent
Identify a holding room for deceased patients close to the exit from which the funeral home will remove the decedent.
For hospitals, morgue pickup should be arranged. This will minimize exposures for patients, facility staff, and funeral
home staff.
Advise the funeral practitioner at the time of initial death notification:
o If respiratory infection is suspected.
o If there is not a body bag available.
If stretchers are not available to move the decedent, please refer to your facility’s disaster plan on transferring “in bed”
patients.
Have any necessary documentation available at the transfer area to help the funeral practitioner avoid going into more
than one area of your facility.
Limit the amount of personnel escorting the funeral staff and decedent from the point of removal to the funeral vehicle.

Resources
Ohio Funeral Directors Association
o OFDAonline.org
o 1-800-589-6332
National Funeral Directors Association
o nfda.org/covid-19/technical-information Centers
for Disease Control and Prevention
o COVID-19 and Funerals FAQs
o Postmortem Guidance
Ohio’s Emergency Operations Center (EOC)
O 614-799-6500

For more information, visit: coronavirus.ohio.gov

 P a g e | 28

Appendix 5- Coroner Guidance for Local Death Care

Coronavirus Disease 2019
Coroner Guidance for Local Death Care

Funeral directors, coroners, and other death-care workers are a critical component in Ohio’s response to the COVID-19 pandemic. Caring for
decedents requires the use of established partnerships and a focused plan. The guidance below is designed to assist in that care should
casualties place strain upon local storage capacity.

A two-phased mass fatality plan has been developed by the Ohio Department of Health in collaboration with members of the State Mass Fatality
Workgroup. Phase 1 expands local decedent storage capacity at the local level by providing cooling units. Phase 2 prepares for a worst-case
scenario in which all storage has been exhausted and decedent remains must be stored in specialized facilities until appropriate burials or
cremations can be arranged. Early during this pandemic, the governor’s office announced the grouping of Ohio’s regions into three zones. The
state of Ohio mass fatality workgroup has placed refrigerated trailers in each zone to support fatality management. Counties corresponding to
the three zones are illustrated below:

Zone 1 Zone 2 Zone 3

Local Storage Assessment

Death-care workers are advised to frequently assess their own resources as well as collaborate with local partners on local storage capacities.
The link below has been developed to help these workers navigate decision-making. Local partnerships should always be explored prior to
making formal requests for assistance to local emergency management agencies (EMAs). To locate your County EMA’s contact information,
please visit https://webeoctraining.dps.ohio.gov/ohiocountyEMADirectorList/countyemalist_web.aspx.

For more information, visit: coronavirus.ohio.gov

 P a g e | 29

Phase 1
County EMA Engagement
In the event all local decedent storage is exhausted, the death-care stakeholder should contact the local emergency management agency, which
will make a request for the use of the available storage units.

Death-care workers should be ready to provide their County EMA the following information:
 Point of contact.
 Number of decedents requiring storage.
 Whether the need for storage is immediate, or the best time to transfer the remains.
Death-care workers are advised to ensure the following:
 No personal effects accompany the decedent(s).
 Decedent(s) are properly tagged with the following information:
o Last name, first name, middle initial.
o Associated funeral home name.
o Funeral home contact information.
o Decedent(s) date of birth and date of death.
o Last four digits of decedent’s Social Security number.
 Each decedent is in a body bag.
o If body bags are needed, inform your County EMA.
 All decedents are embalmed.

Zone Coordination
County EMAs have been provided contact information for each zone and will coordinate requests for death-care storage and confirm
availability.

Decedent Pickup
When final disposition (burial or cremation) is arranged, coordination for pickup of the decedent will be made between the local death-care
stakeholder and staff of the storage facility.

Phase 2
Coordination
If there are no availability in storage facilities, a zone attentive care facility may be employed to accommodate decedents. Attentive care
facilities are climate-controlled facilities identified for the dignified storage of remains during a mass fatality incident. Decedents will be
temporarily stored in these facilities in a worst-case surge scenario until burial or cremation can take place.

Deathcare stakeholders will coordinate through their County EMA to submit a request for temporary storage at an ACF if it has been determined
that all local efforts have been exhausted and an ACF has been activated. ACF support staff will liaise with death care stakeholders originating the
request for decedent storage. ACF staff will call death care stakeholders using the cellphone and 1-800 hotline number assigned to each attentive
care zone. ACF staff will make necessary arrangements for in-take process with the local death care stakeholder to include appointment setting
and provision of directions for arrival.

Decedent Transport
The local death-care worker shall inform the decedents’ families of the need to store decedents in the zone attentive care facilities.

Funeral directors are advised to prepare a chain of custody for the transfer and to have the following information ready for intake.
 Decedent’s last name, first name, middle initial.
 Associated funeral home name.
For more information, visit: coronavirus.ohio.gov
 P a g e | 30

 Funeral home contact information.

 Decedent’s date of birth and date of death.
 Last four digits of the decedent’s Social Security number.
In addition:
 No personal effects should accompany decedents.
 Each decedent must be in a body bag.
o If body bags are needed, inform your County EMA.
 All decedents must be embalmed.

Resources
 Local emergency management agencies
 Ohio Funeral Directors Association
o OFDAonline.org
o 1-800-589-6332
 National Funeral Directors Association
o nfda.org/covid-19/technical-information
 Centers for Disease Control and Prevention
o COVID-19 and funerals FAQs
o Postmortem guidance

For more information, visit: coronavirus.ohio.gov

 P a g e | 31

Appendix 6: Leased Refrigerated Mobile Asset Locations and Contact Information

Zone County Asset Contact Info Qty. Asset Capacity

Zone 1 Lucas Lucas County Coroner 1 53’ Semi-Trailer 24 decedents
72 decedents w/racks
Toledo, OH 43614
Zone 1 Cuyahoga Cuyahoga County Coroner 2 40’ refrigerated 18 decedents
shipping container 54 decedents w/racks
Cleveland, OH 44106

Cleveland, OH 44107
Zone 1 Stark Stark County Coroner 1 24’ ODH Mobile 18 decedents
Cooling Unit
Canton, OH 44705
Guernsey Guernsey County Coroner 1 24’ ODH Mobile 18 decedents
Zone 2 Cooling Unit
Cambridge, OH 43725
Zone 2 Athens Athens County Coroner 1 40’ refrigerated 18 decedents
shipping container 54 decedents w/racks
Athens, Ohio 45701
Zone 2 Allen Allen County Coroner 1 40’ refrigerated 18 decedents
shipping container 54 decedents w/racks
Lima, Ohio 45802
Zone 2 Crawford Crawford County Coroner 1 40’ refrigerated 18 decedents
shipping container 54 decedents w/racks
Bucyrus, Oh 44820
Zone 3 Brown Brown County Coroner 1 40’ refrigerated 18 decedents
shipping container 54 decedents w/racks
Georgetown, OH 45121
Zone 3 Montgomery Montgomery County 2 53’ Semi-Trailer 24 decedents
Coroner 72 decedents w/racks

Vandalia OH 45377
Located at Mobile Mini 4 40’ refrigerated 18 decedents
shipping container 54 decedents w/racks
Held for reserve for rapid
deployment
Located at RSS 6 24’ ODH Mobile 18 decedents
Cooling Unit 54 decedents w/racks
Held for reserve for rapid
deployment

For more information, visit: coronavirus.ohio.gov

 P a g e | 32

Appendix 7: Proposed Chain of Custody Form

Attentive Care Facility Custody of Remains Form
Admission Details

Site Recovery (Bag/Barcode) Personal Effects Present:

#: ( ) Yes ( ) No If
Yes, list all personal
effects below.

Delivered by (Agency/FH): Delivered by (Driver):

Agency Phone #: ( )
-

Date of Admission: Driver Signature:

/ / Driver’s License #:

Time of Admission: Driver Signature:

Attentive Care Facility Details

Attentive Care Facility:

Receiving Person:
COLUMBUS

Remains Location: Pouch zipper lock #:

Pouch Tagged by: Tag # on pouch:

Released To (NAME): Released By (NAME):

Agency: Agency:

Date Released: /
Time of Released:
/

For more information, visit: coronavirus.ohio.gov

Release Details
 P a g e | 33

Receiving Person: Driver Signature:

Driver’s License #: Agency/FH:

Date Released: /
Time Released:
/

PERSONAL EFFECTS ON REMAINS (Other Than Clothes)

NOTE - AC Site not responsible for loss of personal effects. Pouch will be cable-tied
shut and will NOT be opened to verify personal effects at admission or release.

COMMENTS:

AC Site Custody of Remains

Form - 2020

For more information, visit: coronavirus.ohio.gov