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Basic Information

First Name of Deceased: *  
Last Name of Deceased: *  
Date of Death: *  (MM/DD/YYYY)
Case Number (if known):

Requested by:
Name (Individual or Business Name): *  
Address: *    
City: *  
State: *  
Zip Code: *  
Email Address: *  
Phone Number: *  
Are You a District Attorney or Law Enforcement Working on This Case?
District Attorneys and Law Enforcement receive reports at no cost. *
If So, Please Specify Agency:  

**Photographs are available only for Law Enforcement and District Attorneys. Credentials will be verified.**

Note: District Attorneys and Law Enforcement receive these reports at no cost, all others must pay a fee as stated below.

Public Record Documents Requested:

Note: Autopsy Report Bundle includes autopsy report, report of investigation and toxicology (if performed) or external examination report. It also includes any other reports in which tests were performed (histology, etc.).

How Do You Want the Report(s) sent: *  
Electronic Signature: *  
Date *  (MM/DD/YYYY)  

Transaction Amount: *  

Note: Cases are completed within approximately 8 – 12 weeks from date of death. Requests for finalized cases will be processed and fulfilled within 7-10 business days.