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Request an appointment to register a death

Use this form to request a phone appointment to register a death.

This form needs to be completed by the person registering the death (the 'informant').

Once you have submitted your request, the Registrar will contact you to complete the registration once they have confirmed receipt of the Doctor's and Coroner's documentation (if required). This will be done as soon as possible, but may take up to 5 working days.

The fields marked with an asterisk (*) are required fields. All the information you enter will be submitted securely.

Details of the deceased

* Full name
* Date of death
* Place of death
* Has a doctor's medical cause of death certificate been completed and emailed to the Register Office?
* Has the death been referred to the Coroner?

Your details

* Full name
* Phone or mobile number (no spaces)
Alternative mobile or phone number (no spaces)
* Email address
* Confirm Email address

Appointment details

* What days within the next week are you available for a telephone appointment to register the death?

* Would you prefer a morning or afternoon appointment?

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