Most coronial inquiries are completed without a formal court hearing. This is called a hearing on the papers, where the coroner reads all evidence and makes a decision in chambers (without holding a formal, public hearing). These hearings are private, and no one else is present.  

In some cases, the coroner may hold a court hearing called an inquest, especially if they need to hear from witnesses in person. Inquests are usually open to the public, which means media may also attend.  

After the inquest or hearing on the papers, the coroner will write a formal finding – a written report that summarises the outcome of their investigation. This will includes details about the person who died, the cause of death, when and how the death occurred, the circumstances surrounding it, and any recommendations to help prevent future deaths. 

Yes. Whether or not there’s an inquest, whānau are encouraged to share information about the person who died to help the coroner understand who the person was. This might include a personal statement, or background information about their life or events leading up to their death. 

We understand this can be an emotionally difficult task. There may be a lot to say, and it can be hard to know where to begin. If you need help, you can: 

• Ask a trusted whānau member, friend or support person to write on your behalf  
• Contact Huarahi Ora
• Speak with Coronial Services staff, who can guide you through the process. 

The coroner’s final finding will include details about the person who died and where, when, and how they died. Sometimes, the coroner will make recommendations aimed at preventing similar deaths in the future. A copy of the finding will be sent to the whānau and may also be shared with other agencies or the media. The media can report on a coroner’s finding once it is publicly released, including the name of the person who died, the cause and circumstances of their death, and any recommendations the coroner makes. However, they are expected to do so in a way that is accurate, responsible, and aligns with media guidelines for reporting on suicide.  Because the finding is a public document, anyone can request a copy.

Coronial inquiries often take time, and it may be one to three years before the final finding is released.  

 Waiting for answers within the finding can be very difficult, as it can feel like the grieving process is paused. If you’re waiting and want an update, you can contact your coronial case manager at any time. They’ll do their best to provide clear information and keep you informed. 

The Coronial Services of New Zealand (Pūrongo o te Ao Kakarauri) oversees the coronial process from the moment the Police notify the coroner, to the release of the body from the mortuary, through to completion of the finding. 

 You have the right to be kept informed throughout this process. A coronial case manager can answer your questions, guide you through each step, and help communicate with the coroner if needed. They can also: 

• Keep you updated on the post-mortem (autopsy), body release and tissue samples (if relevant) 
• Let you know how the case is progressing 
• Discuss any cultural or spiritual needs you want respected (for example, if you'd like certain tikanga to be observed).

While many aspects are set by law, there are still ways you can advocate for your needs and the needs of your whānau. Here are some things you can request (though please note, it is ultimately up to the individual coroner to decide): 

Understanding who’s involved 

• Ask: “Who is the coroner assigned to this case?” 
• Ask: “Who is the case manager or coronial liaison?” 

Accessing support 

• Ask if there’s any legal support available to you. 
• In rare cases, you can request that a lawyer be appointed to support your whānau through the process.

Keeping informed 

• Ask the case manager to let you know when key documents (like reports or findings) will arrive. 
• Let them know how you’d like to receive these – for example, by email or by post.

Personalising the process 

• Ask for the coroner or officials to meet at a space that feels safer or more comfortable for you and your whānau, such as a marae or community centre, instead of a formal courtroom. 
• Ask to share your story or provide information about the person who has died. Your perspective matters.

Requesting sensitivity 

• If you wish, ask for the person’s belongings to be returned, and let the case manager know if there is anything you’d prefer not to receive. 
• If it’s important to you, you can ask for the coroner’s finding not to be made public. While this isn’t always granted, your wishes will be considered.

Having someone to support you 

• Consider choosing a trusted whānau advocate – this could be someone who understands your wishes, can speak on your behalf, and help keep track of the process. This person can ask questions, clarify next steps, and support you through what may be an exhausting time. 
• For whānau Māori, a police iwi liaison officer is available to support you and communicate with the coroner.  

You can learn more about the coronial process in the booklet When Someone Dies Suddenly: A Guide to Coronial Services in New Zealand. This is also available from: 

• The Ministry of Justice
• Your local district court, the Police, or a funeral director.