Death Registration

Death Registration Form Request

First Name

Last Name

Surname at Birth

Aboriginal or Torrest Strait Islander

Yes

Place of Birth

Location of Passing

Last Known Residential Address

Occupation

Email Address

Date of Birth

Partners Full Name

Marital Status

Number of Previous Marriages

Next of Kin Address

Marriage Location

Next of Kin Full Name

Next of Kin Contact Number

Childrens Full Names, Date of Births and Occupations

Deceased Parents Full Names, Date of Births and Occupations

Comments

Please Note:
Questions need to be completed in order for application of Legal Death Certificate to be made with The Registry of Births Deaths and Marriages. The Legal Death Certificate will be mailed to the next of kin withing 2-6 weeks. The Death Certificate application will be completed once your loved one has been Cremated/Buried and full payment has been made.

Thank you.

Death Registration

Death Registration Form Request

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