1300 309 519 http://www.coronerscourt.vic.gov.au
Statement of Identification Form
Fields marked with an asterisk (*) are mandatory and must be completed
If you are a registered medical practitioner and you believe a reportable or reviewable death has occurred at your health service, please contact Coronial Admissions and Enquiries staff on 1300 309 519 to notify them of the death. You will be informed whether you are required to complete this form. If you are required to complete this form you will be given a Secure Code Number (Note: Secure Code Number will be valid for 24 Hrs).