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