North Carolina Office of the Chief Medical Examiner

Effective October 1, 2025, Session Law 2025-70 amended NCGS § 130A-385 which implemented new confidentiality standards on disclosure and release of certain medical examiner records. In accordance with this law, certain records are now confidential under G.S. 130A-385 unless a legal exception applies. These new confidentiality standards apply to requests for records of 1) any death that is under criminal investigation or the subject of a criminal prosecution, or 2) any death of a child who was under 18 years of age at the time of death. The new law outlines specific, limited exceptions to these restrictions. These rules apply to all relevant cases, regardless of the date of death. Please see amendments to § 130A-385 for more details about these new confidentiality standards and associated legal exceptions.

  • Amendments to NCGS § 130A-385 prohibit the release of medical examiner records of 1) any death that is under criminal investigation or the subject of a criminal prosecution, or 2) any death of a child who was under 18 years of age at the time of death.
  • For records that are under criminal investigation or the subject of a criminal prosecution, limited release may be permitted to the following individuals:
    • personal representative of the decedent's estate,
    • beneficiary of a benefit or claim associated with the decedent,
    • surviving spouse,
    • child or stepchild,
    • parent or stepparent,
    • sibling, or
    • legal guardian
  • For records related to the death of a child who was under 18 years of age at the time of death, limited release may be permitted to the following individuals:
    • personal representative of the decedent's estate,
    • beneficiary of a benefit or claim associated with the decedent,
    • surviving spouse,
    • decedent's parents,
    • adult children of the decedent,
    • legal guardian or custodian of the decedent,
    • legal guardian or custodian of a child of the decedent,
    • any person holding power of attorney or healthcare attorney for the decedent,
    • the legal representative of any of the above-named authorized individuals

If your request falls into one of the exception categories above, you must provide verification documents to OCME in order for your request to be processed. Please consult the table below for acceptable examples of verification. Documentation may be submitted electronically to OCME_VERIFICATION@dhhs.nc.gov

Relationship 

Additional Documentation Required 

Personal Representative of Estate

Certified copy of letters of administration or letters testamentary issued by the Clerk of Court in the county of death

Beneficiary

Copy of policy or benefit naming you as beneficiary

Spouse 

A certified copy of your marriage certificate

Child/Stepchild 

A certified copy of your birth certificate or copy of certified court order of adoption listing parent(s) + certified marriage certificate

for step-relationships

Parent/Stepparent 

A certified copy of the decedent’s birth certificate listing you as parent(s) + certified marriage certificate for step-relationships

Sibling 

A certified copy of your sibling's birth certificate and a certified copy of your birth certificate, demonstrating that you

share the same parents

Legal Guardian or Custodian 

A copy of the certified court order naming you as legal guardian or legal custodian.

If guardianship is temporary, it must have been granted less than 1 year ago 

Legal Guardian of decedent’s child

Certified copy of birth certificate listing decedent as parent + A copy of the certified court order naming you as legal guardian

or legal custodian of decedent’s child. If guardianship is temporary, it must have been granted less than 1 year ago 

Power of Attorney or Healthcare Attorney 

A notarized copy of the Power of Attorney or Healthcare Attorney agreement, naming you as an authorized agent

to receive the records 

Legal Representative 

Copy of attorney’s ID and bar card + a copy of the retainer agreement or typed letter on the firm’s letterhead authorizing

retrieval of the record 

Last Modified: November 4, 2025