Register

To register the deceased's details with Deceased Preference Service please complete the form and click the submit button at the bottom of the page to send.

Don't worry if you are unable to supply all of the details we ask for - you can register details by supplying just the name and address of the deceased but the more details you can supply, the more it will help us to prevent deceased fraud.

click here for printer friendly form.

Details Of The Deceased

Title:
Forename:
Second Forename:
Surname:
Telephone:
Address:
 
 
Town:
County:
Postcode:
Date Of Birth:
Date Of Death:
Death Certificate Number:
More Information

Your Details

Forename:
Second Forename:
Surname:
Email Address:
Contact Number:
Postcode:
Please give a contact telephone number or e-mail address so we can contact you if there are any problems with your registration.

Your Relationship To The Deceased

Spouse:
Son/Daughter:
Parent:
Other family member:
Funeral Director:
Executor or Legal Representative:
Partner:
Grandchild:
Grandparent:
Friend:
New Occupier of deceased's
former address: