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Application for a death certificate

Where you see * this means that you must fill in the information requested.

Introduction
This form can be used to request copies of a death certificate for deaths registered in Islington or the City of London in the last 100 years.

This form should not be used if the death has not previously been registered at Islington Register Office or London City Register Office. Completing this form will NOT register a death.

If you have registered a death by 'declaration' at a register office other than Islington Register Office or London City Register Office please allow one month before using this form to apply for a certificate.

Registration location *

Was the registration within the last 100 years *
Person applying for the certificate
Name
Title
First name *  
Middle name
Last name *  
Contact information
Telephone *
Email *
Address
Line 1 *  
Line 2
Line 3
Line 4
City
Postcode *  
Please enter N/A if you do not have telephone number or email address.
Purpose
Please state the purpose for which the certificate is required *
Relationship
Please state your relationship to the person *
Details of certificate required
Name of deceased
Forename(s) *
Surname *

Occupation
Home address
Date of Death *

Place of death
Full address of Hospital or place *

Date of Birth

- or -

Age at death

Name of partner
If married or in a civil partnership please give name and surname of spouse/civil partner.
Forename(s)
Surname
Requirements

Standard certificates

This is a full copy of the death entry.

I require   standard death certificate(s)

Service options

Disclaimer
Once an item has been posted by the Register Office responsibility for safe delivery passes to the Post Office. In the event that an item is 'lost in the post' all replacement certificates must be paid for by the applicant. Reimbursement for lost items may be sought from your local Post Office™, or by calling your customer service centre on 08457 740740. If you are deaf or hard of hearing, contact the Post Office on 08456 000606 (Textphone).
 
Fair processing notice

Please note: Any personal information you give us is held securely and will be used only for council purposes. Information that was collected for one purpose may be used for another council purpose, unless there are legal restrictions preventing this. Islington may share this information where necessary with other organisations’, including (but not limited to) where it is appropriate to protect public funds and/or prevent fraud in line with the National Fraud Initiative guidelines. The use of data by the Audit Commission in a data matching exercise is carried out with statutory authority under its powers in Part 2A of the Audit Commission Act 1998. Please see www.islington.gov.uk/dataprotection for more information.