Request For Autopsy Report Form

Date*

Name of Deceased*

Name of Requestor (Optional)

Medical Examiner's Case No.

I request a copy of the finalized autopsy report of the above named decedent be sent to me as follows: (please select):*

Call me at when ready for pickup

Email me at when ready for pickup

Mail me a copy (must provide a self-addressed, stamped envelope along with payment)

Mailing Address:

I will call to see if copy is ready for pickup

I understand there is a statutory charge of $0.15 per page for any copies made. Payment is required in advance and can be made payable to Lee County Board of County Commissioners. Cash, checks or money orders are accepted

You may also call our office at (239) 533-6339 to request a copy or send your request via fax at 239-277-5017.

Please note: Florida has a very broad public records law. Most written communications to or from MEO Employees and officials regarding County business are public records available to the public and media upon request. Your email communication may be subject to public disclosure. Under Florida law, email addresses are public records. If you do not want your email 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.

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DISTRICT 21 MEDICAL EXAMINER'S OFFICE

LEE-HENDRY-GLADES COUNTIES

Request For Autopsy Report Form