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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? *
If So, Please Specify Agency:  

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:

*Photographs are only available for Law Enforcement and District Attorney’s. Credentials will be verified.*

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 Public Record: *  
Electronic Signature: *  
Date *  (MM/DD/YYYY)  

Transaction Amount: *  

Note: Cases are finalized in approximately 8 – 12 weeks from date of death. Requests for finalized cases will be fulfilled within 5 – 7 business days.