Report Request Form

Report Request Form
Name of Decedent

First Name Middle Name Last Name Suffix
Date of Death

Month Day Year
Date
Date of Birth

Month Day Year
Date

Report Requested by
Name

First Name Middle Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relationship to Decedent
Upload a photo of your picture ID. Must be a state issued drivers license, state issued identification card, or passport.

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Requested Report, Delivery Method, and Payment

REQUESTED REPORTS

Death Investigation Report (Digital) This report is completed by the investigator from this office who completed the death investigation. Delivered via emailed

$ 10.00

Death Investigation Report (Physical Paper) This report is completed by the investigator from this office who completed the death investigation. Delivered via USPS

$ 15.00

Total

$ 0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

All record requests must be submitted through this website. If you have additional questions you may contact our office at (256) 568-8900

Please Note
You are hereby acknowledging that all information on this request is true and accurate. Any attempt to misrepresent yourself and illegally obtain copies of investigation reports could be prosecutable.

The finalization of the any report may take a few weeks or several months because of detailed research process. If Manner of death is deemed as homicide or is still under investigation by this office or the pathologist, the Marshall County District Attorney must approve release of case material.
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Date
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