Death Certificate Details

 

The information provided on this form is required for the official registration of the death with Births, Deaths & Marriages New Zealand. Please ensure all details are accurate and complete. Osbornes Funeral Directors will register the death on behalf of the family. The death certificate is usually issued within 5–7 working days.

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Death Certificate Details Form

Your Details (who is filling out this form)

Name(Required)

Death certificate details

Name of Deceased(Required)
DD slash MM slash YYYY
DD slash MM slash YYYY
Town or City
Country
Was the deceased a descendant of NZ Māori(Required)

Ages of Children

Deceased Parent’s Details

Mother's Full Name (if known)
Father's Full Name (if known)

If married, complete the following details

Spouse/Partners full name

Details of second most recent relationship

Spouse/Partners full name

Third Most Recent Relationship

Spouse/Partners full name
Was the deceased a Marriage Celebrant or Civil Union Celebrant?(Required)
Was the deceased a Justice of the Peace?(Required)
Did the deceased hold an honour or award?(Required)
Consent(Required)