Autopsy Report Request Form - Office Of The Boulder County Coroner printable pdf download

Office of the Boulder County Coroner

5610 Flatiron Parkway, Boulder, Colorado 80301 - 303.441.3535 - Fax: 303.441.4535

Mailing Address: P.O.Box 471 - Boulder, Colorado 80306 -

Autopsy Report Request Form

Release of Public Records

Autopsy reports are deemed Public Record and may be released according to the policy. To request a copy of a record

you MUST complete an autopsy request form, which will be retained in the file of the requested record. All requests are

processed as soon as possible, but may take up to 3 working days. Such period may be extended if extenuating

circumstances exist such as the request is for an inactive file; an unusually long request or the records need to be

reviewed by administration. The fee shall be as detailed below, unless actual costs exceed that amount, in which case

actual costs may be charged. Actual costs include staff time. Any fees charged in this policy shall include the cost of

redacting documents to excise privileged material.

Fees for Release of Public Records

Immediate family of the decedent (for current cases), law enforcement agencies, and the District Attorney's Office may

receive a copy of the autopsy report free of charge. Any individual, business or commercial concern shall be charged

twenty-five cents ($.25) per page, payable in advance, per CRS§24-72-205, however the coroner does waive the fee on

reports that are less than 10 pages.

A research/retrieval fee will be assessed for every request which requires research and retrieval. There is no charge for

the first hour, after the first hour, a $30.00 per hour fee will be assessed per CRS§24-72-205 (6)(a) in addition to the

twenty-five cents ($.25) per page regardless of the number of pages.

Fill out the information below and return it to the Boulder County Coroner’s Office. When the items

requested above are received, and as soon as the report is available, we will provide the autopsy report to

you in the method requested below.

Name of Decedent: _______________________________________ Date of Death: ______________________

Reason for Request:_______________________________________________________________________________

__________________________________________________________________________________________________

Name of Requestor: ____________________________________________

____________________

(Please Print Full Name)

(Telephone Number)

___________________________________________ Date___________________

(Signature)

I would like to receive the report by email ______ mail ______ at the following address:

__________________________________________________________________________________________________

Rev.04.05.2016

R. H

M M A

A LL

Coroner

Autopsy Report Request Form - Office Of The Boulder County Coroner