To register simply click here press print and fill in and post to:
Freepost RRZC-SYCA-AGEG, DDC OS, The Data Solutions Centre, Manton Wood Enterprise Park, Worksop, S80 2RT. No stamp is needed.

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.

DETAILS OF THE DECEASED All fields marked * should be completed
(Mr/Mrs/Miss/Other)*
 
Forenames*
 
 
Surname*
Address*
 
Town*
 
County
Postcode*
 
Telephone No

Date of birth
- -
Date of death*
- -
Death certificate number

If you have a copy of the death certificate, the death certificate number can be found in the top right hand corner above the 'CERTIFIED COPY OF AN ENTRY" title.

Please leave this field blank if you do not have the death certificate or the number - you can still register details without it.


YOUR DETAILS
Forenames
 
Surname
Your postcode
Contact details

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 (please tick)
Spouse
Other family member
Grandchild
Son/Daughter
Funeral Director
Grandparent
Parent
Partner
Friend
Executor or
legal representative
New Occupier of deceased's former address