Next of Kin Declaration (complete as appropriate):
I certify that I [INSERT FULL NAME ] am the immediate
next of kin of [INSERT NAME OF DECEASED ] and
request the Service record of my late [RELATIONSHIP ]
I certify that I [INSERT FULL NAME ] am the immediate
next of kin of [INSERT NAME OF DECEASED ] and give consent to
MOD to disclose the Record of Service of my late [RELATIONSHIP ]
to [NAME OF PERSON MAKING THE APPLICATION ]
Signature of Next of Kin …………………………………….………………… Date ………….…………………….
(Please provide the following contact details if the Applicant is not the immediate next of kin)
Full Address including post code ………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
e-mail address (optional) ………………………………Telephone No. (optional) …………………………
Please now complete one of the Service-specific search forms (Application Part 2) and
provide details to enable a search to be made. The relevant Service-specific forms can be
downloaded and printed from the link on the Service Records Information page.
When complete send both Application Part 1 (this form) and the appropriate Application Part 2
(Service-specific search form) to the address provided on the Service-specific search form.
You must also include:
i. The written authority of the immediate Next of Kin on this form if you are not the next of kin.
ii. If you were NOT the spouse or civil partner of the subject at the time of death (or parent if there
was no spouse or civil partner), then include an administration payment [Cheque for £30 (Sterling)
per record requested].
• Cheques should be made payable to “The MOD Accounting Officer” when searches of the
RN/RM or Army service records are requested.
• For searches of RAF records, cheques should be made payable to “HMG 3627”.
Please note that payments are not refundable.
iii. A copy of the death certificate of the person whose record you seek.
The personal data that you have provided in this form will be used only for the purposes of processing
your request for information by the relevant branch of MOD; this form will be retained for a minimum
of 2 years and then destroyed.
By signing this form you are confirming that you understand the above and that you agree that your
personal data can be used as stated. We recommend that you read the MOD’s Personal Information
Charter and the MOD’s Privacy Notice in full as they provide more detail on how we manage personal
data.
click to sign
signature
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