Form Center

2. Contact the Coroner's Office
   To contact the Jefferson County Coroner's Office by email, please make a selection in the drop down menu below. This will provide a form to fill out or further instruction to assist you.
   
   We welcome your requests, questions, comments and suggestions. Responses are provided Monday through Friday, during office hours. *Donor Alliance, please notify the investigator on call.
4. I’m looking for:*
   -- Select One --A Death CertificateAutopsy ReportBurial AssistanceEducational PresentationsInternship with the CoronerInformational Session on Medicolegal Investigations CareersOther
6. A Death Certificate
   Birth and Death Certificates

   Connect to the Vital Records web page for more details.
8. Decedent's Name*
10. Decedent's date of death
11. Decedent's date of birth
13. Other information or Questions/Comments
15. Internship with the Coroner
    Coroner’s Office

    Thank you for your interest, but we do not have any opportunities for internships in the Coroner’s Office at this time.
17. Report a Death
    Coroner’s Office

    Please call the Coroner’s Office to report a death. During the hours of 8:30-11:30 a.m. and 12:30-4 p.m. please call 303-271-6480; after hours, please call 303-281-8123. Thank you.
19. Burial Assistance
    Financial Assistance Burial Assistance

    Please visit the Human Services Burial Assistance web page for more details.
21. Organization Name*
22. Type of Organization
24. Contact Name*
25. Contact Phone
26. Contact Email*
28. Meeting Date and Start Time*
    Meeting Date and Start Time

    Meeting Date and Start Time
29. Speaker Start Time
30. Amount of Time Available for Presentation*
32. Number of Attendees Expected*
33. Exact Location/Address of Venue*
35. Audio/Visual Equipment*

    1. Organization/Venue will supply A/V equipment for presentation
    2. Speaker is expected to provide the A/V equipment
37. Registration

    Informational sessions will be offered Tuesday, Feb. 7, 10-11 a.m. and Tuesday, Sept. 19, 10-11 a.m. Please provide your contact information and someone will get back with you about registration for the session.

    1. Seating is limited.
39. Requestor's Name*
41. Requestor's Email*

    Please provide a valid email address. All personal information is kept private and used on our end to better assist you.

42. Requestor's Phone Number
44. Other Questions or Comments
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field