KORA Request

11894 S. Sunset Dr. Olathe, KS 66061
Phone: (913) 826-3510 Fax: (913) 715-2547
meorecords@jocogov.org
Public Information Request Form
Read Carefully Before Signing
If you do not have an email address, a printable KORA request form can be completed and mailed to the MEO.

I hereby acknowledge that I am aware that K.S.A. 45-230(a) provides: "No person shall knowingly sell, give or receive, for the purpose of selling or offering for sale any property or service to persons listed therein, any list of names and addresses contained in or derived from public records.."

The Johnson County Medical Examiner's Office is not a HIPAA covered entity, but it receives some HIPAA protected records from treatment providers. HIPAA protected medical records are closed under K.S.A. 45-221(a)(1) and are not provided under KORA. To receive medical records, a valid HIPAA authorization or subpoena is required.

Autopsy and toxicology reports are free of charge, however, for additional records or the complete file, a cost will be incurred. The Medical Examiner's Office may request the fee in advance to cover the cost of staff time or the cost of producing the record.

Violation of this law may subject the violator to a civil penalty of $500.00 for each violation.
I have read and acknowledge*

Yes

Public Information Request Form
What Records Are

Most records maintained by public entities are open for inspection and/or copies to be made. The reports available for release include:
- Autopsy Reports
- Toxicology Reports
Exceptions

Kansas Open Records Act recognizes that some records contain information which is private in nature. For this reason, the Act lists a number of exceptions. For a listing of exemptions see K.S.A. 45-221.

How to Request a Record

A request for information is preferred to be in writing. JoCo MEO has prepared this form for this purpose, but it is not required that you use the form. Make sure your request is as specific as possible so that your request may be filled quickly and completely. A JoCo MEO staff person may ask detailed questions in order to fulfill your request accurately. Please indicate whether you want to receive requested records electronically or by mail.

After the request is received, a staff member will respond within three business days to relay the amount of time required to satisfy the request. If the request is delayed or denied, you will receive a written explanation for the delay or denial. Reasons for the denial include, but are not limited to, the case is still an ongoing, open investigation or the case is suppressed.

Fees

Each KORA requestor is eligible for one (1) free request per twelve (12) month period if the request can be provided with less than one (1) hour of staff time. Otherwise, the Kansas Open Records Act authorizes public agencies to charge fees for providing access to or furnishing copies of public records. Autopsy and toxicology reports are free of charge; however, for additional records or the complete file, a cost will be incurred. The Medical Examiner's Office may request the fee in advance. This fee may include:
- Cost of staff time required to locate the information
- Cost of copying or reproducing the record (hard copy or scan)
- Cost of staff time to mail
I have read and acknowledge*

Yes

Public Information Request Form
Requestor's Name*

First NameLast Name
Company Name or Relationship to Decedent*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Fax Number (if applicable)
Please enter a valid fax number.
Email*
In accordance with the Kansas Open Records Act, I request access to the following public records (please specify)
Name of Deceased*

First NameLast Name
Deceased Date of Birth*

MonthDayYear
Deceased Date of Death*

MonthDayYear
Medical Examiner Case Number (if known)
Documents Requested*

Autopsy ReportsToxicology ReportsOther
Preferred Method of Delivery*

Encrypted EmailMailFaxIn-Person Pickup
Did someone help you fill this out?*

YesNo
If so, who assisted you?*
Signature*
Please type full name
Date

MonthDayYear
Should be Empty:

Public Information Request Form

Public Information Request Form

What Records Are

Exceptions

How to Request a Record

Fees

Public Information Request Form