LEERS Death Module
Registration Forms
A completed and signed User ID Request form is required for each individual LEERS user.
Physician/Coroner User ID Request
Physician/Coroner Staff User ID Request
Master List of Physicians Registered with LEERS
SSA Louisiana Policy for Funeral Director Report of Death (SSA-721)
SSA Louisiana Policy for Report of Death by Funeral Director (SSA-721) - Updated July 9, 2012
LEERS Worksheets
Worksheets allow users to collect information from staff or family members in the LEERS format for ease of entry into the electronic system. All worksheets are optional and offered solely as a convenience to users.
Funeral Home Informant Worksheet
Funeral Home Disposition Worksheet
Training Videos
All videos in .wmv format designed to run with Windows operating systems and Windows Media Player. You can download the latest version of Windows Media Player free of charge.
If your player gives you a message that you are "missing a codec required to play this video," follow this link to install the codec from GoToMeeting that will allow you to view the videos.
1. LEERS Login and Home Page Overview
2. LEERS Death Module Home Page
4. Initiating a Burial Transit Permit
6. Decedent Tab
8. Personal Tab
10. Assignment Tab - Electronic Certification
11. Assignment Tab - Manual Certification
12. Physician/Coroner Certification
13. Returned from State Records
14. Transferring a Death Record
15. Online Certificate Ordering
User Guide
LEERS Death Module User Guide (PDF)
If you have questions about the death registration process, contact the LEERS Helpdesk at (504) 593-5101 or email leers@la.gov.