Autopsy Report Request Form PDF Details

Autopsy reports are usually used to determine the cause and manner of death in a criminal investigation. However, autopsy reports can also be used for other purposes such as determining medical causes of death or settling insurance claims. A request for an autopsy report can be made by filling out an Autopsy Report Request Form. The form can be obtained from the Medical Examiner's office in the jurisdiction where the death occurred or from the office of the Chief Medical Examiner. The form must be filled out completely and signed by the person making the request. A copy of a valid photo identification must also be included with the request. The fee for obtaining an autopsy report is $5.00 per copy plus postage if required. Payment can be made by check or money order payable to

QuestionAnswer
Form NameAutopsy Report Request Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshow to get an autopsy report in tennessee, autopsy report tn online, autopsy report tennessee, autopsy report tn get

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Office of the Chief Medical Examiner

STATE OF TENNESSEE

DEPARTMENT OF HEALTH

WILLIAM L. JENKINS FORENSIC CENTER BOX 70431JOHNSON CITY, TN 37614

OFFICE (423) 439-8403 FAX (423) 439-8810•HEALTH.OCME@TN.GOV

AUTOPSY REPORT REQUEST

To obtain a copy of the autopsy report, please send the following information to: Office of the Chief Medical Examiner, Box 70431, Johnson City, TN 37614-1704

Name of Deceased:

_______________________________________

 

County of Death:

_______________________________________

Date of Death:

_______________________________________

Please mail a copy of the report to: (Mailing address/print clearly):

_______________________________

Printed Name of Requestor

_________________________________________

Street Address

_________________________________________

City, State and Zip Code

___________________________________________________

Signature (REQUIRED)

______________________________________

Relationship to Deceased

______________________________________

Phone Number

_____________________________________________________________________________

PLEASE NOTE:

Copies of autopsy reports may be obtained for $25.00 each with check or money order.

Payable to: State of Tennessee, Department of Health.

*** Government agencies and not-for-profit organizations are not required to submit a fee.***

The requestor needs to send payment and a written request to:

Office of the Chief Medical Examiner

C/O Margaret Hyder

State of Tennessee Department of Health

William L. Jenkins Forensic Center

P.O. Box 70431

Johnson City, TN 37614-1704

Office: (423) 439-8403 Fax: (423) 439-8810 Email: Health.OCME@TN.Gov