Coroner Reimbursement

• Sudden Unexpected Infant Death Investigation Reporting Form (SUIDIRF)
  • Reimbursement: $100
  • Requirements:
    • Received by the Bureau of Family Health within 10 days of death
    • Completed within 24 hours of the infant's death
    • Complete as possible with a narrative that describes the incident (use narrative to explain any gaps in information)
    • Include death scene diagram, doll reenactment, and photographs whenever possible
    • Reimbursements submitted after the fiscal year ends will not be processed. 

• Sudden Unexpected Infant Death Autopsy
  • Reimbursement: $500
  • Requirements:
    • Received by BFH within 75 days of death
    • Completed by a pathologist skilled in forensics
    • Follow standardized autopsy procedure
    • Includes external, internal, microscopic, toxicology, and summary report
    • Reimbursements submitted after the fiscal year ends will not be processed.                              

• Submission: please submit in one of the following ways 
  • Fax: 504-568-3503 ATTN: Victoria Smith
  • Mail: Bureau of Family Health at 1450 Poydras Street Suite 2032, New Orleans, LA 70112
  • Email or fax directly to your regional MCH Coordinator. Click here for MCH Coordinator contact information.
  • Secure file transfer: Email Victoria Smith at Victoria.Smith@la.gov for more information.

• Please include a separate BFH reimbursement form for the SUIDIRF and autopsy and a W-9 form first time reimbursement requests.
• Please make sure that all mail is marked confidential and all faxes have a cover letter.