SF503

Medical Record - Autopsy Protocol

Agency
GSA
Revision
Rev. 5/2025
Fillable fields
32
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill SF503 online
Page 1 of form SF503

Standard Form 503 (SF 503): Medical Record - Autopsy Protocol

Standard Form 503 (SF 503), Medical Record - Autopsy Protocol, is a one-page medical record form, Rev. 5/2025. Its footer says it is prescribed by GSA/ICMR under FPMR (41 CFR) 101-11.203, and the form is marked Authorized for Local Reproduction. GSA hosts a copy in its forms library.

The form records an autopsy: the date and hour of death and of the autopsy, whether it was a full autopsy, head only or trunk only, the prosecutor and assistant, the clinical diagnosis including operations, and the pathological diagnosis, followed by an approval signature. The bottom of the page identifies the patient, the sponsor, the department or service and the hospital or medical facility.

The PDF prints no instructions, privacy notice or filing address. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of Standard Form 503 (SF 503): Medical Record - Autopsy Protocol, as printed by GSA

What's on SF 503

Dates and type of autopsy

Date and hour died and date and hour autopsy performed, each with A.M. or P.M., and Check One boxes for full autopsy, head only or trunk only.

Prosecutor and assistant

One block for the prosecutor and one for the assistant.

Clinical diagnosis

A large free-text area for the clinical diagnosis, including operations.

Pathological diagnosis and approval

A free-text area for the pathological diagnosis, then the Approved - Signature line.

Military organization, age and autopsy number

Military organization (when required), age and autopsy number.

Patient, sponsor and facility

Relationship to sponsor, sponsor's name and ID number (SSN or other), department/service, hospital/medical facility, records maintained at, patient's identification, register number and ward number.

How to complete SF 503

  1. 1

    Record the times

    Enter the date and hour died and the date and hour the autopsy was performed, marking A.M. or P.M. for each.

  2. 2

    Check the type of autopsy

    Check one box: full autopsy, head only or trunk only.

  3. 3

    Write the diagnoses

    Fill in the clinical diagnosis, including operations, and the pathological diagnosis.

  4. 4

    Identify the patient

    For typed or written entries, the form says to give the name (last, first, middle), ID number or SSN, sex (male or female), date of birth and rank/grade.

  5. 5

    Complete the facility details

    Fill in the sponsor details, department/service, hospital/medical facility, where records are maintained, register and ward numbers, age and autopsy number, and military organization when required.

  6. 6

    Sign the approval line

    The form ends the diagnosis section with an Approved - Signature line.

The form prints no step-by-step instructions. These steps follow its blocks.

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Records and what the form says

Where it goes

The PDF gives no filing address. A block on the form records where the records are maintained.

Prescribing rule

The footer reads Prescribed by GSA/ICMR FPMR (41 CFR) 101-11.203.

Copies

The form is marked Authorized for Local Reproduction.

Related forms

Who fills out SF 503?

  • The prosecutor and assistant

    Two blocks near the top record the prosecutor and the assistant for the autopsy.

  • The approving signer

    An Approved - Signature line follows the pathological diagnosis. The form does not say who signs it.

  • The hospital or medical facility

    Blocks record the department/service, the hospital/medical facility and where the records are maintained, with a register number, ward number and autopsy number.

  • The patient and sponsor

    The patient is identified by name, ID number or SSN, sex, date of birth and rank/grade, along with the relationship to sponsor and the sponsor's name and ID number.

The form prints no instructions on who completes it. Its blocks name these roles and places.

Official sources and the blank

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Questions about Form SF503

Who prescribes SF 503?

The footer says the form is prescribed by GSA/ICMR under FPMR (41 CFR) 101-11.203. GSA hosts a copy in its forms library.

Which edition is this?

The footer reads Standard Form 503 (Rev. 5/2025), which matches the current revision date on GSA's page.

What types of autopsy can be checked?

The form has three Check One boxes: full autopsy, head only and trunk only.

How is the patient identified on SF 503?

For typed or written entries, the form asks for the name (last, first, middle), ID number or SSN, sex (male or female), date of birth and rank/grade, with a register number and ward number.

Does SF 503 come with instructions?

No separate instructions are printed. The only guidance on the page is in the patient identification block and labels such as Clinical Diagnosis (Including operations) and Military Organization (When required).