Autopsy Report Request County Form PDF Details

Gaining access to an autopsy report is a process that many individuals, ranging from family members to legal professionals, may find themselves navigating. Within the jurisdiction of Broward County, Florida, this process is facilitated through the submission of the Autopsy Report Request County form. This official document is key to requesting autopsy findings from the Office of Broward County Medical Examiner and Trauma Services. It requires specific information such as the name of the deceased, the medical examiner case number if available, and the date of death. Additionally, it presents options for requesting different components of the autopsy report, including the narrative summary, toxicology report, and body diagram. The form clearly outlines the necessity to include the requester's details, such as name, address, and their association to the deceased, whether as family members or in professional capacities, such as law enforcement. By completing and submitting this form, individuals initiate a formal request for valuable information that can be crucial for understanding the circumstances surrounding a death, resolving legal matters, or achieving closure. Through this standardized procedure, Broward County's medical examiner's office endeavors to provide transparent and accessible services to the community it serves.

QuestionAnswer
Form NameAutopsy Report Request County Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesbroward county autopsy report, florida autopsy report request, fl autopsy report broward, florida autopsy report request form

Form Preview Example

Office of Broward County Medical Examiner and Trauma Services

5301 S.W. 31 Avenue • Fort Lauderdale, Florida 33312-6619954-357-5200 • Records FAX 954-327-6581 • TTY 954-357-6100

AUTOPSY REPORT REQUEST

NAME OF DECEASED

 

MEDICAL EXAMINER CASE NUMBER (if known)

 

 

 

 

 

DATE OF DEATH

 

MEDICAL EXAMINER’S NAME (if known)

PLEASE SEND A COPY OF THE FOLLOWING REPORT(S):

AUTOPSY:

_____

NARRATIVE SUMMARY:

_____

TOXICOLOGY: _____

BODY DIAGRAM:

_____

TO:

NAME

ADDRESS

 

UNIT

 

 

 

CITY

STATE

ZIP CODE

 

 

 

(ASSOCIATION OF REQUESTING

PARTY (FAMILY, POLICE, ETC…)

 

DATE OF REQUEST

DATE MAILED / REPLIED TO

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