Medical examiner and coroner offices
Who to call after a death, office addresses and phones for 34 counties, and whether the medical examiner or coroner must review a cremation in each state. Every fact comes from a county or state page, linked on each office's page.
Arkansas
Arkansas does not require coroner or medical examiner approval for every cremation. When a death falls under the coroner's or medical examiner's authority, the crematory may not receive the body until the coroner of the county of death or the medical examiner authorizes cremation (17 CAR 30-208). Source
Oklahoma
Oklahoma has one state Office of the Chief Medical Examiner. Deaths of persons whose bodies are to be cremated are among the deaths the law says must be investigated, and every cremation needs a permit; the current permit fee is $200.00, with a $25.00 late fee after 30 days (OAC 445:10; statute allows $200 to $275). Source
Missouri
Missouri does not require medical examiner review of every cremation. If the cause of death is established within 72 hours, the completed death certificate goes to the local registrar before cremation; if not, the body may not be cremated until the funeral director has written authorization from the medical examiner, coroner or physician (19 CSR 10-10.100). Source
Kansas
Kansas requires a coroner's permit to cremate for every death that occurred in Kansas (K.S.A. 65-2426a). No statute sets a fee; counties may set one. Source
Tennessee
Tennessee requires the county medical examiner's approval for every death in the county for which a cremation permit is requested, wherever the cremation takes place. The funeral director gets that approval and a Permit for Cremation ($25.00, paid to the local health department in the county of death). Source
- Davidson County Medical Examiner, Middle Tennessee Regional Forensic Center (Forensic Medical Management Services)
- Hamilton County Medical Examiner, Southeast Tennessee Regional Forensic Center (Hamilton County Forensic Center)
- Knox County Regional Forensic Center (East Tennessee Regional Forensic Center)
- West Tennessee Regional Forensic Center (Shelby County Medical Examiner, operated by the University of Tennessee Health Science Center)
Texas
In a Texas county with a medical examiner, the crematory must get a certificate signed by the medical examiner of the county of death before any cremation (Code of Criminal Procedure Art. 49.25, Sec. 10). Medical examiners may charge a cremation approval fee set by the commissioners court; Bexar, Travis and Lubbock counties print a $25 fee. In a county without a medical examiner, the justice of the peace issues the certificate for deaths that need an inquest. Source
- Bexar County Medical Examiner's Office
- Collin County Medical Examiner's Office
- Dallas County Medical Examiner, Southwestern Institute of Forensic Sciences (SWIFS)
- Denton County Medical Examiner (satellite office of the Tarrant County Medical Examiner's district)
- El Paso County Office of the Medical Examiner
- Fort Bend County Medical Examiner's Office
- Harris County Institute of Forensic Sciences (Harris County Medical Examiner)
- Lubbock County Medical Examiner's Office
- Tarrant County Medical Examiner's Office
- Travis County Medical Examiner's Office
Florida
Every Florida cremation needs the district medical examiner's review: F.S. 406.11(1)(c) makes the district medical examiner determine the cause of death when a body is to be cremated. Funeral homes request approval through the state's Electronic Death Registration System, and each county sets its own approval fee (for example $35 in Sarasota and Manatee, $60 in Orange and $75 in Lee). Source
- Broward County Office of Medical Examiner and Trauma Services (District 17)
- District 4 Medical Examiner's Office (Clay, Duval and Nassau counties; also serves District 3's Columbia and Hamilton counties)
- Hillsborough County Medical Examiner Department (District 13)
- District 21 Medical Examiner's Office (Lee, Hendry and Glades counties)
- District 12 Medical Examiner, Manatee facility
- Miami-Dade County Medical Examiner Department (District 11)
- District Nine Medical Examiner's Office (Orange County)
- Palm Beach County Medical Examiner's Office (District 15)
- District 12 Medical Examiner (Sarasota, Manatee and DeSoto counties)
Georgia
A Georgia cremation needs a disposition permit, issued only in the county of death. For a death that must be reported to the coroner or medical examiner under the Georgia Death Investigation Act, the permit is issued only after the county coroner or medical examiner approves disposition. No rule requiring a medical examiner to review every cremation appears in the official sources cited here. Source