Medical Examiner Department

Request for Autopsy Report

* Indicates Required Fields

I hereby request a copy of the following autopsy report:

ME Case Number:

Name of Deceased: *This question is required.

Date of Death: *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar (mm/dd/yyyy)

Name of person requesting report *This question is required.

Relationship to Deceased

Phone *This question is required. This question requires a valid number format.

How would you like to receive the report? *This question is required.

Please enter email address *This question is required. This question requires a valid email address.

Please enter address *This question is required.

Street Address

Apt/Suite/Office

City

State

Zip

Country

E-mail Disclaimer:

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.