1. (a) The state child fatality review coordinator shall develop a data collection form that includes:

   1. (1) identifying and nonidentifying information;
   2. (2) information regarding the circumstances surrounding a death;
   3. (3) factors contributing to a death; and

   4. (4) findings and recommendations that include the following information:

      1. (A) Whether similar future deaths could be prevented.

      2. (B) A list of:

         1. (i) agencies and entities that should be involved; and

         2. (ii) any other resources that should be used;

            to adequately prevent future child deaths in the area.

2. (b) The state child fatality review coordinator shall develop a confidentiality form for use by the statewide child fatality review committee and local child fatality review teams.

As added by P.L.119-2013, SEC.3.