Office of the Chief Coroner
The Coroners Act – Province of Ontario
Re: , deceased.
To: , deceased.
I (Name) am the Coroner investigating the death(s) of the above-named person(s).
As a result of information that has been supplied to me, I have reasonable and probable grounds to believe that it is necessary for the purposes of my investigation to enter and inspect:
By the authority granted to me under the Coroners Act I hereby delegate this authority to (Name) ,herein authority to enter and inspect the above named premises. By the authority granted to me under the Coroners Act, I, (Name) will hereby enter and inspect the above named premises and this function will not be delegated.
Dated this (day) day of (month) 20 at (location)
Coroner’s Name (Please print) Date Signed (yyyy/mm/dd)
Coroner’s Signature