Victorian Numbered Regulations

CORONERS COURT (AMENDMENT NO. 2) RULES 2014 (SR NO 202 OF 2014) - REG 10

r. 10

For Form 13 of the Principal Rules substitute —

" FORM 13

Rule 37(4)

IN THE CORONERS COURT

OF VICTORIA

AT MELBOURNE

Court Reference:

DIRECTION TO PRESERVE TISSUE OR MATERIAL

Form 13 Rule 37(4)

Section 28 of the Coroners Act 2008

I, [ name ], *State Coroner/*Deputy State Coroner/*Coroner investigating the death of:

Details of deceased:

Surname:
Given names:
*Date of Birth/*Age:

direct [ name of Medical Investigator ]

*to preserve

* not to preserve

tissue/material as set out in the written request dated [ insert date ] in accordance with section 28 of the Coroners Act 2008 for the purpose and reasons set out in your written request.

*The tissue/material is to be preserved for:

    *the minimum period required to achieve the purpose specified in your request; or

    *day(s)/*week(s) (If different durations are required for different tissues/materials, specify below):

•         [     list tissue/material ]

*The following restrictions are imposed:

•             [ list restrictions ]

Signature:

_______________________________________

Coroner's name:

Date:

Time:

*Delete if inapplicable

__________________".