The inquisition shall be as follows:

State of Tennessee,

______________ County.

An inquisition held at ______________, in the county and state aforementioned, on the day of ______________, 20______________, before ______________, coroner of such county, upon the body of ______________ (or a person unknown), there lying dead, by the jurors whose names are hereto subscribed, who upon their oaths do say: (here state, when, how, by what person, means, weapon, or accident the person died, and whether feloniously, as near as may be according to the requirements of § 38-5-111).

In testimony whereof, the jurors have hereunto set their hands the day and date above.