Authorization for Release of Death Investigation Reports
I , , bearing the relationship
(full name)
of to:
(mother, father, sister, brother, spouse, son, daughter or legal personal representative)
Name of Deceased:
(full name)
who died on/about
(date of death – day/month/year)
at , Ontario
(place of death)
am requesting to receive all* reports related to the death investigation of the decedent named above.
DATE of Request: __________________________________
(day/month/year)
*Reports include the Coroners Investigation Statement and may include a Post Mortem Examination (i.e.
autopsy) and a toxicology report (if an autopsy and toxicology are performed); and possibly a report of a Death
Review Committee (if case reviewed by a committee)
Requested reports will be sent by secure email to the email address provided below.
EMAIL ADDRESS _____________________________________________________________________________
PHONE NUMBER _________________________________
Complete the address information below only if you prefer to receive the report(s) by Canada Post:
____________________________________
Street & number, unit #
____________________________________
City, Province
____________________________________
Postal Code
____________________________________
Telephone
Record of Investigations
18. (4) Every coroner shall keep a record of the cases reported
in which an inquest has been determined to be unnecessary,
showing for each case the coroner’s findings of facts to
determine the answers to the questions set out in subsection
31(1), and such findings, including the relevant findings of the
post mortem examination and of any other examinations or
analyses of the body carried out, shall be available to the
spouse, parents, children, brothers and sisters of the deceased
and to his or her personal
representati
ve, up
on
request.
Coroners Act R.S.O. 1990, c. C.37, s. 18 (4); 2009, c. 15, s.
10.
PLEASE SUBMIT YOUR REQUEST VIA EMAIL/MAIL/FAX TO THE APPLICABLE REGIONAL
OFFICE
OR
Send to the attention of the Issues Manager at:
occ.inquiries@ontario.ca
Office of the Chief
Coroner
25 Morton Shulman
Ave.
Toronto ON M3M
0B1
Tel: 416-314-4000 / Fax: 416-314-4030
