This is an on-line form which allows Medical Examiners and Coroners to file a MECAP report. If you desire an alternative reporting method, you can report a case by telephone by calling (toll free) (800) 638-8095. Say “This is a MECAP report.” You will then be placed in contact with the MECAP Project Manager for your state, who will ask for the information noted below. You can also send a report by email to hazard@cpsc.gov, or fax it to (800) 809-0924.
When filling out the form, use the TAB key or your mouse to go to the next data area. Use the scroll bar to scroll down the form.
OMB Control Number 3041-0029