Coroners’ Education Board Report of Continuing Education

Your Information

Your Position

Coroner
Chief Deputy Coroner
Full Time Deputy Coroner
Part Time Deputy Coroner
Other

Year

County

Name

First Last

Email Address

Business Phone

Fax Number

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Course Information

Courses

Course Name	Location	Dates and Hours Taken

Return this form as soon as possible after completion of your 8 hours continuing education requirements, along with copies of the certificates received. Under the provisions of the Coroners’ Education Act, the Coroner’s failure to complete the required 8 hours of continuing education will result in notification to the Governor who must declare the Office of Coroner vacant. If a Chief Deputy Coroner or a Full Time Deputy Coroner fails the Coroner and Commissioners are notified.

Course Documents

Please upload course agenda(s) as well as any supporting documents required for approval of this course

Drop files here or

Max. file size: 100 MB.