Notification of Hospice Death

Shelby County Coroner Logo
Shelby County Coroner
108 West College St
Butch Ellis Bldg Room 107
Columbiana, Alabama 35051
Office: (205) 669-3846
Fax: (205) 669-3886
(Mailing Address)
PO Box 1321
Columbiana, Alabama 35051

Pursuant to Code of Alabama 45-37-60 and 22-9A-14, the coroner’s office should immediately be notified if there is suspicion of criminal violence or criminal neglect, when death occurs in suspicious or unusual circumstances, when deaths are thought to result from trauma or violence, in any prison or penal institution, or when in police custody; whether the cause is known or suspected, primary or contributory, or recent, delayed, or remote.

I am certifying that to my knowledge the information contained herein is true and accurate.
Typing name in Signature line constitutes signature