Form Center

2. Please complete the following form to request an autopsy report from the Washtenaw County Medical Examiner. Most reports will take 30-60 days to complete. Some complex cases or those involving criminal investigations may take longer. Reports are sent by email (secure, password protected), unless a mailed copy is requested. There is no charge for a single copy, but fees are charged for multiple requests. If charges apply, we will send an invoice.
4. Date of Death*
   Date of Death
5. Full Name of Deceased*
7. Full Name of Person Requesting Report*
8. Email Address*
10. Requester's Relationship to Deceased*
    -- Select One --ParentSiblingGrandparentAunt or UncleCousinHealthcare ProviderMedia InquiryLegal CounselFriendOther (please fill in next box)
11. Other Relationship to Deceased
13. Address*
14. Phone Number*
16. City*
17. State*
18. Zip Code*
20. Additional Information or Instructions
22. Questions? Please email Kristen LaMaire [email protected]
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field