Kentucky Violent Death Reporting System
 
 

 

 

Phone (859) 257-6711
(859) 323-8591
Cell (859) 699-0040
Fax (859) 323-8191
 
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 Forms

1. “Coroner Investigation Report Form” for all coroner cases

for the form

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2. “Child Fatality Review Form” for child deaths under age 18


for the form

This form should be sent to:

Child Fatality Review Administrator, Division of Adult & Child Health Improvement, 275 East Main St.,    HS 2GW-A, Frankfort, KY 40621-0001.  

For more Information about this form call Lynn Hulsey at 502-564-2154 X3857

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3. “Sudden Unexplained Infant Death Investigation Report Form(SUIDIRF) 3.96

for the form

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4. “Motor Vehicle Collision Death

for the form
 
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