Morgue Access Request Form
Submit your request for morgue access by providing all required operational details below.
Full Name of Requester
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Department
*
Purpose of Access
*
Please Select
Identification
Medical Examination
Personal Belongings Retrieval
Official Investigation
Other (please specify)
Requested Access Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Access Duration (estimated)
*
Please Select
Up to 30 minutes
30-60 minutes
1-2 hours
More than 2 hours
Requested Area/Room
*
Please Select
Viewing Room
Main Morgue Area
Isolation Area
Other (please specify)
Will you be accompanied by others?
*
No
Yes (please list names below)
Companions/Attendees (if any)
Patient/Decedent Reference (name or case reference; do not include sensitive IDs)
*
Special Handling Instructions or Notes
Submit Request
Should be Empty: