Office of the Chief Coroner
Level 2, AMP Chambers
86 Customhouse Quay
Wellington 6011
Request for Coronial Information
1 . D E T A I L S O F R E Q U E S T E R
Full name:
Relationship to deceased:
Reason for request:
Email:
Address:
Tel:
2 . D E T A I L S O F D E C E A S E D
Full names:
Coronial File No:
(if known)
Known by any other name:
Date of birth:
Date of death:
3A. I N F O R M A T I O N R E Q U E S T E D
Coroner’s findings
Post-mortem report*
Witness statements
Toxicology report*
Police documents (notebooks, job sheets)
Medical reports*
Crash/investigative reports
Patient notes*
Scene photographs
Graphic photographs*
Inquest transcript (subject to Chief Coroner approval)
Suicide note/s*
Single document ____________
*Medical information is generally only released to immediate family
L A
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Office of the Chief Coroner
Level 2, AMP Chambers
86 Customhouse Quay
Wellington 6011
3C. R E L A T I O N S H I P V E R I F I C A T I O N
With this form I have attached:
AND
This document shows my relationship to the deceased:
Passport
Birth certificate
Driver’s licence
Marriage certificate
Other photo ID: __________________
Other verifying document: ______________
If you do not supply relationship verification at the same time as this form, we will release the
same information as we would to a member of the public. This is because we must keep to the
20-day legislative timeframe.
Please indicate your preferred method of receiving this information:
Email
Courier
• Please note that information on the case file, including the documents you request, is subject
to a vetting process. In accordance with the Official Information Act 1982, the Privacy Act
2020 or the Coroners Act 2006, it may be necessary to withhold certain information. You will
be notified of the reasons why.
• The completed form and any supporting documents should be mailed to:
Coronial Information, Specialists Courts, DX: SX 11159, or Level 2, AMP Chambers,
86 Customhouse Quay, Wellington 6011, or emailed
to [email address]
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