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Information for Families

Waukesha County Medical Examiner's Office: Information for Families

Funeral Home Selection

If you are the legal next of kin of the deceased, one of your first steps is to select a funeral home to handle the funeral arrangements. Please advise the funeral home that our office is involved so we can coordinate with them.  

Once you have chosen a funeral home, please notify our office of your selection. We understand that many families may contact or meet with multiple funeral homes to learn about options. To avoid confusion and ensure your loved one is transported to the funeral home of your choosing, we need you to contact us directly to confirm your funeral home selection.

Cremation

State law requires a permit be issued to a funeral home by the local Coroner or Medical Examiner office before cremation can occur. If you choose to have your loved one’s body cremated, your funeral director will notify our office. A brief, non-invasive external body examination will be completed by one of our death investigators. Our office will also review the signed death certificate. Following these steps, our office will issue a cremation permit to the funeral home. No cremation may take place until 48 hours after the pronounced time of death.

Common Resources for Families

Crisis Cleaning Services

For your convenience, here is a list of companies that provide biohazard cleaning, should you find the need for such services. The businesses are not authorized or endorsed by the Waukesha County Medical Examiner's Office.

Private Autopsy Providers

 

Frequently Asked Questions

General Info

To inquire about a death investigation, please call our office at 262-548-7575. Our normal business hours are Monday-Friday, 8 am to 4:30 pm. If you have questions outside of these hours, please call the Waukesha County Communications Center at 262-446-5070 and ask to speak with the investigator on call.

We do our best to keep families informed at each step of the process, but we may not be able to answer all questions if the investigation is in progress or if release of the information would compromise an active criminal investigation.

No. However, there may be rare cases where we request family to positively identify their loved one from a photograph.  This process may occur at our office or at a different location.

No. The Waukesha County Medical Examiner's Office does not allow families to view their loved one at our office. A funeral home is the appropriate setting for that viewing to take place. We ask family and friends to be patient while we complete our examination. The decedent can then be released to the funeral home of their choice.

Personal property may accompany a decedent when they arrive at our facility. All personal property received by our office is carefully documented. Property is released to the funeral home when they pick up the decedent from our office. The list of property items we had custody of will also be provided to the funeral home at that time.

In some cases, law enforcement may take property as part of their investigation. If this occurs, the family will need to work with that agency to review those items.

Our office does everything possible to complete examinations and release bodies as soon as possible. In many cases, bodies are examined and released to a funeral home within 24 hours. Weekends and holidays may slightly extend this timeframe.

Families should contact the funeral home of their choice in the state they want. A funeral director from that out of state funeral home will then connect to a local funeral home here to plan for the transport of the decedent. The family should notify the out of state funeral director that their loved one’s death is being investigated by our office.

Death Certificates

The certification of a death is an electronic process utilizing the Wisconsin State Vital Records system. The death certificate is completed in two sections. The medical portion is completed either by our office if we accept jurisdiction, or by the deceased’s physician; the other portion is completed by the funeral home. Once the death certificate is complete, it is filed with the state vital records office and the local register of deeds.

The funeral home can assist you with obtaining copies of death certificates. You may also contact the register of deeds directly to order copies. You can contact the Waukesha County Register of Deeds by phone at 262-548-7863 or via email vitalrecords@waukeshacounty.gov

Sometimes cause of death cannot be immediately determined after an autopsy; this is not uncommon. This means additional information is required to make the determination. In these cases, we sign the death certificate with cause of death as "pending" to allow time to gather the additional information needed. We will contact the next of kin to provide cause of death once the necessary testing and analysis is complete. We will also update the death certificate with the final cause and manner of death information at that time.

The time it takes to determine cause and manner of death can vary. Every person is different, every death is different. Therefore, every death investigation is different.

Following the autopsy, toxicology studies will be ordered. Other laboratory studies will also be ordered if needed. These tests are completed outside of our office by private labs. Laboratory specimen processing takes more time when someone has died. Laboratory reports will be sent to our office after the tests are complete.

To determine cause and manner of death, the forensic pathologist will review information from a variety of sources. This process is similar to putting together a puzzle.

The pieces of the puzzle may include medical records, death investigation observations, law enforcement reports, autopsy findings and laboratory results. First, the puzzle pieces need to be received, then they need to be assessed.  Finally, they are analyzed and put together to determine the final cause and manner of death.

This process is completed as quickly and efficiently as possible. We appreciate the patience of families and friends as we work to provide accurate and complete answers.

Yes. "Pending" as cause or manner of death implies that additional studies are necessary, such as drug testing, microscopic tissue examination, etc. A death certificate, even a pending certificate, is a legal document which serves as proof that the named individual has been pronounced deceased.

Autopsies

An autopsy is an internal and external medical examination of someone who has died. The doctor performing the autopsy is a specially trained physician or Forensic Pathologist. The pathologist looks for and documents injuries as well as diseases. Samples of organs, tissues, and body fluids are collected for testing.

Tests can include the following:

  • Toxicology to determine the presence of medications, alcohol, drugs or other toxic substances
  • Histology to view tissues or cells under a microscope to identify disease
  • Microbiology to determine the presence of infection from bacteria, fungus or viruses
  • Evidentiary items may also be collected at autopsy. This includes trace evidence, hair, bullets, nail clippings, swabs, or other foreign objects.

Our office reviews the facts of each, individual death to determine what type of examination is necessary. The goal is to determine cause and manner of death. In some cases, that requires an autopsy.

An autopsy should not affect funeral services. The incisions made during autopsy should not be visible during the funeral. In most cases the procedure should not delay the funeral.

No. There is no charge to your family when an autopsy falls under the legal responsibility of our office. Our office charges a fee to the funeral home whenever we sign a death certificate. The funeral home may forward this fee on to your family.

Yes. If we determine an autopsy is not necessary based on our acceptance criteria (per state law), but your family still wishes to have one, we've provided a list of private autopsy providers for your convenience. That list can be found in the "Common Resources for Families" section at the top of this page. Please note, your family will be responsible for the cost of the procedure if you decide to request a private autopsy.

If our office performs an autopsy, we will contact the next of kin when the exam is complete. During that conversation we will provide the autopsy findings and cause of death information if it is known at that time. If cause of death is not known at this time, we will explain what the next steps will be.

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