From the Presentation: "1. There are more than 5,000 jurisdictions that have authority and unique procedures for fatality management. This makes planning for federal support a challenge. 2. Under normal circumstances, arrangements for the disposition of the dead is handled between a healthcare facility, the family, and the funeral industry. Under local and state laws, certain cases involve law enforcement and medical examiners/coroners. 3. In a disaster, the normal case flow may be interrupted, due to increased involvement of law enforcement, more cases under medical examiner/coroner jurisdiction, or difficulty establishing identity of the deceased. 4. Fatality management is a local function. In general, a dead body cannot be moved without a death certificate or permission from some local official. This is often the rate limiting step, regardless of the amount of logistic support."
U.S. Department of Health and Human Services: https://www.hhs.gov/