Fillable Open Records Editable Form (City of Milwaukee)

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Open Records Editable Form (City of Milwaukee)

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OPEN RECORDS REQUEST
FAX TO: 414-223-1237
MAIL TO:
ATTN: RECORDS
933 W. HIGHLAND AVENUE
MILWAUKEE, WI 53233
Please fill out completely and print.
Name of Deceased: ___________________________________________
Date of Birth: ___________________ Date of Death: ______________
REPORTS REQUESTED:
Investigator’s Report __________ Autopsy Protocol __________
Toxicology Report __________ Other (Please List) __________
RECORDS REQUESTED BY:
Name: _____________________________________________________
Address: _____________________________________________________
City: ______________________ State: ________________
Zip: ______________________ Phone: ________________
Relationship to Deceased: ___________________________________________
REPORTS TO BE:
Mailed: Picked Up:
NOTE:
There is a fee of $0.50/page and $5.00 shipping and handling charge (certain
exclusions may apply).
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Open Records Editable Form (City of Milwaukee)

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Completed 18 July 2020

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