Form 7
Version 2
QUEENSLAND
CORONERS ACT 2003
(Section 24(10))
STATEMENT THAT CORONER HAS ORDERED DISPOSAL OF TISSUE
Entity keeping tissue:
(insert name of entity, eg, a particular pathology laboratory)
I,
(insert name)
being a person authorised by the person in charge of the:
(insert name of entity)
state that the coroner has ordered the tissue taken as part of the autopsy identified below/on the attached list (delete whichever is
not applicable) be disposed:
Tissue
Laboratory/
Autopsy number
Name of deceased
Date of death of
deceased
(insert either “all tissue” or
identify particular tissue if
some still to be kept)
Date of statement:
Print name of person making statement:
Signature of person making the statement:
Note:
1.
2.
3.
This form can be used for one or multiple cases.
Tissue includes organs, blood etc.
Section 24(10) of the Coroners Act 2003 provides that subject to any relevant local laws, this statement is
sufficient authority for the burial (which includes cremation) of the tissue.
Form 7 Version 2 – 2 November 2009