Free Suspicious Death Affidavit Template
Suspicious Death Affidavit
I, [YOUR NAME], in my capacity as the coroner, hereby issue this Suspicious Death Affidavit to inform the medical examiners involved in the investigation of the following suspicious death:
Decedent Information:
-
Name: [DECEDENT'S NAME]
-
Date of Birth: [DECEDENT'S BIRTH DATE]
-
Date of Death: [DECEDENT'S DEATH DATE]
-
Place of Death: [DECEDENT'S ADDRESS]
Circumstances of Death:
The decedent, [DECEDENT'S NAME], was discovered deceased at their residence located at [DECEDENT'S ADDRESS] on [DECEDENT'S DEATH DATE]. Initial responders were dispatched to the scene following reports of a disturbance and possible altercation in the vicinity. Upon arrival, the decedent was found unresponsive in their home under circumstances indicative of a violent confrontation. The decedent's body bore visible signs of trauma, including contusions, abrasions, and lacerations consistent with blunt force injuries.
Pertinent Findings:
-
Upon initial examination of the scene, signs of forced entry were observed at the decedent's residence, suggesting a potential struggle or unauthorized entry.
-
The decedent's body was found with visible signs of trauma, including contusions and lacerations consistent with blunt force injuries.
-
Witness statements indicate suspicious behavior by individuals known to the decedent, raising concerns about possible motives for foul play.
Request for Examination:
In light of the suspicious nature of the decedent's death, I hereby request that the medical examiners give special attention to identifying any potential signs of foul play, trauma, or other indicators of criminal activity during the autopsy examination.
This affidavit is issued for the purpose of facilitating a thorough investigation into the circumstances surrounding the death of [DECEDENT'S NAME]. Any further developments or pertinent information discovered during the course of the investigation will be promptly communicated to the appropriate authorities.
Signed:
[YOUR NAME]
[DATE]
