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A carry over from the British system, the separate office of coroner appeared in Virginia about 1660. The judicial duty of the office was to hold inquisitions in cases when persons met a sudden, violent, unnatural or suspicious death, or death without medical attendance. The law did not encourage the Coroner to be a medical professional until the 20th century, and only stipulated that the local court be responsible for the appointment. Although not reliant on profession, this system of affluent white men making the decisions largely ensured that only other white men served in this position for much of its history

Prior to the Civil War, the coroner would summon a jury of twelve white men, usually prominent citizens of that locality, to assist him in determining cause of death. The jury viewed the body of the deceased and heard the testimony of witnesses which did include both white and Black perspectives. This witness testimony was recorded and after seeing and hearing the evidence, and unlike other judicial proceedings, enslaved people could provide depositions in coroner's inquisitions, but still, an all-white jury delivered in writing to the coroner their conclusion concerning cause of death referred to as the inquisition. These causes of death would be determined by a white perspective and Black individuals were only consulted; they were never in a position to make decisions. After the Civil War, the process remained the same but the racial distinctions stipulating jury eligibility no longer remained. However, as appointments still continued and juror eligibility reserved for those "entitled to vote and hold office," the authority and influence in the hands of white citizens remained throughout the late 19th and early 20th century.

In 1877, an act of the General Assembly changed the number of jurors to six, and by 1926, only the coroner determined cause of death but they could require physicians to assist them with determining cause of death. Then in 1946, the General Assembly abolished the Coroner's office/ office of Coroner's Physician altogether, appointed instead a Chief Medical Examiner, and by 1950 transitioned to a statewide Office of the Chief Medical Examiner which now lives within the Department of Health.

If a criminal act was determined to be the cause of death, the coroner delivered the guilty person to the sheriff and the inquests would be used as evidence in the criminal trial. In this case, coroner's inquisitions were filed with the trial papers. If there was not a trial, coroner's inquisitions were filed separately and are more likely to appear in this collection as a standalone set of documents.

Locality History: Lancaster County was named for the English county. It was formed from Northumberland and York Counties sometime between 26 March and 16 September 1651. The county court first met on 1 January 1652. The county seat is Lancaster.