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CHICAGO AREA AUTOPSY SERVICE, INC 600 Holiday Plaza Dr. Suite 535 Matheson, IL 60443 Office: 7082838200 Fax: 7082838202 Request for Postmortem Examination Today's Date: Name of Deceased: Age DOB:
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How to fill out request for postmortem examination

How to fill out a request for a postmortem examination:
01
Enter the personal details of the deceased, including their full name, date of birth, and any known identifying information.
02
Provide the details of the death, including the date, time, and location of the incident.
03
Describe the circumstances surrounding the death as accurately as possible. Include any relevant details such as medical history, recent injuries, or suspicious circumstances.
04
Specify the reason for requesting the postmortem examination. This might include determining the cause of death, investigating potential criminal activity, or confirming a suspected medical condition.
05
Include contact information for the requester, such as name, address, phone number, and email. This will allow the authorities to reach out for any necessary follow-up or clarification.
06
Attach any supporting documents or evidence that may be relevant to the request. This could include medical records, witness statements, or photographs.
07
Sign and date the request form to acknowledge that all the information provided is accurate to the best of your knowledge.
Who needs a request for a postmortem examination:
01
Medical professionals: Doctors, forensic experts, and medical examiners might need to request a postmortem examination to determine the cause of death, establish a accurate diagnosis, or further their research.
02
Law enforcement agencies: Police departments, detectives, and investigators may require a postmortem examination to gather evidence in cases of suspicious deaths or potential homicides.
03
Families and next of kin: In some cases, the immediate family members or legal representatives might need to request a postmortem examination to gain closure, understand the cause of death, or support legal proceedings.
Note: Each jurisdiction may have its own specific requirements and procedures for requesting postmortem examinations. It is essential to consult local laws and regulations to ensure compliance with the proper protocols.
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What is request for postmortem examination?
A request for postmortem examination is a formal document submitted to the appropriate authorities requesting an autopsy or examination of a deceased individual to determine the cause of death.
Who is required to file request for postmortem examination?
The request for postmortem examination is usually filed by a medical examiner, coroner, or other authorized individual responsible for investigating deaths.
How to fill out request for postmortem examination?
The request for postmortem examination typically includes information about the deceased individual, circumstances surrounding the death, and any relevant medical history.
What is the purpose of request for postmortem examination?
The purpose of the request for postmortem examination is to determine the cause of death, gather evidence for legal investigations, and provide closure for the deceased individual's family.
What information must be reported on request for postmortem examination?
The request for postmortem examination must include the deceased individual's name, date of death, medical history, circumstances surrounding the death, and the reason for requesting the examination.
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