Both legal next-of-kin and insurance companies can request a copy of the postmortem examination report by sending a notarized request, signed by the legal next-of-kin and:

an authorization from the prosecuting attorney of the county where the incident occurred, or

a court order from a court of competent jurisdiction.

A request from an insurance company requires a cashier’s check or money order made payable to the Arkansas State Crime Laboratory in the amount of $50.00.

Our reports are privileged and confidential as described in A. C. A. § 1212312.

Name of deceased:
Date of death:
Requester’s name:
Relationship to deceased:	(must be legal next-of-kin)
Address:
(Street address)
Email address:	(City, State, ZIP)
Telephone number:	(if report to be sent by email)
Signature of requester:

Please place notary seal here:	Subscribed and sworn to before me
This ________ day of ____________________, _______
My commission expires ____________________________
__________________________________________________
Signature of Notary Public

Please mail request to:	Arkansas State Crime Laboratory

Attn: Sandra Bargiel, (501) 683-6223

3 Natural Resources Drive

Little Rock AR 72205

Insurance Company Requests: Please include a cashier’s check or money order for $50.00,

made payable to the Arkansas State Crime Laboratory