How to Fill Out Autopsy Report Request Form

Autopsy Report Request Form at a glance

What it is: The Autopsy Report Request Form of the Office of the State Chief Medical Examiner is for a copy of the autopsy report.

Who signs: The requestor may complete the form, and the Signature is REQUIRED.

A filled-in Autopsy Report Request Form example: a daughter requests an autopsy report

Autopsy Report Request Form example filled out, example: a daughter requests an autopsy report — Jane Sample fills out the Autopsy Report Request Form. She requests the report on her father John Q. Sample, who died in Sample County on 03/14/2026. The picture shows page 1, and all its values are invented. She checks the box because her preferred method of autopsy report is electronic.

How to fill out Autopsy Report Request Form, box by box

Name of Deceased, County of Death and Date of Death

Enter the Name of Deceased, the County of Death and the Date of Death.

Mailing address, email address and the electronic box

Please mail a copy of the report to the mailing address: print clearly the Printed Name of Requestor, the Street Address and the City, State and Zip Code.

Enter the Email Address, and check the box if the preferred method of autopsy report is electronic.

Signature, Relationship to Deceased and Phone Number

Sign on the Signature line, marked REQUIRED.

Enter the Relationship to Deceased and the Phone Number.

More rules for Autopsy Report Request Form

The requestor may complete and submit the form online at https://stateoftennessee.formstack.com/forms/autopsy_report_request_form.

Common questions about Autopsy Report Request Form

Where do I file it?

To obtain a copy of the autopsy report, email the form to Health.OSCME@tn.gov or mail to: Office of the State Chief Medical Examiner, Andrew Johnson Tower, 2nd FL, 710 James Robertson Parkway, Nashville, TN 37243.

Sources

[1] Autopsy Report Request Form, Office of the State Chief Medical Examiner, Tennessee Department of Health (the Official source link on this page).

Autopsy Report Request Form PDF Details

Fill in Name of Deceased, County of Death and Date of Death, then Email Address.

Report mailed to: Please mail a copy of the report to the mailing address: print clearly the Printed Name of Requestor, Street Address and City, State and Zip Code.

Electronic copy: Check box if preferred method of autopsy report is electronic.

Signature: Signature (REQUIRED).

Relationship and phone: Relationship to Deceased and Phone Number.

Online: The requestor may complete and submit this form online at https://stateoftennessee.formstack.com/forms/autopsy_report_request_form.

Question	Answer
Form Name	Autopsy Report Request Form
Form Length	1 page
Fillable?	Yes
Fillable fields	11
Avg. time to fill out	2 min
Eligible Requestors	Spouse, adult child, parent, legal guardian, authorized public agency
Processing Time	Up to 90 days after date of death
Other names	request autopsy report, autopsy report request form, autopsy request form, Tennessee autopsy report request
Official source	Autopsy Report Request Form, Office of the State Chief Medical Examiner, Tennessee Department of Health

Autopsy Report Request Form: Request an Autopsy Report in Tennessee