Information Required for Death Certificates

This is the information required for a death certificate. Feel free to print off this form and keep the completed version with your records.

    Personal Details

    First Name

    Last Name

    Maiden Name (if applicable)

    Date of Birth

    Place of Birth

    If born overseas how long lived in NZ

    Usual residence

    Ethnicity

    Usual occupation

    Family Details

    Age of each living child

    Full name and maiden name of Mother

    Occupation of Mother

    Full name of Father

    Occupation of Father

    Relationship Details

    Marriage or relationship details at time of death. Most recent and any previous.

    If married, place of marriage

    Age of deceased at marriage

    Full name and age of spouse/partner


    Was the deceased a Marriage/Civil Union Celebrant or Justice of The Peace

    Did the deceased hold any honour or award