Fillable Contact information form for registering deaths (Southampton city (Southampton City Council)

Fill Online, Printable, Fillable, Blank Contact information form for registering deaths (Southampton city (Southampton City Council) Form

Use Fill to complete blank online SOUTHAMPTON CITY COUNCIL pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Contact information form for registering deaths (Southampton city (Southampton City Council)

On average this form takes 4 minutes to complete

The Contact information form for registering deaths (Southampton city (Southampton City Council) form is 1 page long and contains:

  • 0 signatures
  • 10 check-boxes
  • 10 other fields

Country of origin: UK
File type: PDF

Use our library of forms to quickly fill and sign your Southampton City Council forms online.

BROWSE SOUTHAMPTON CITY COUNCIL FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Contact information form for registering deaths
(Southampton city deaths only)
Please complete the information below and email to Registrars@southampton.gov.uk
Once we have received this form and the medical certificate of cause of death we will contact you by
telephone to complete the formal registration. The telephone call could be at any time during the day,
Monday to Sunday.
You must:
• Be a qualified informant. This isn’t always the next of kin – please see our website for clarification
https://www.southampton.gov.uk/weddings-ceremonies-registrations/registration-and-
certificates/register-a-death.aspx
• Have the right information ready. Please see our website above for clarification.
• Allow 20-30 minutes for the registration to take place over the telephone in a quiet place.
• Register the death within 5 days. This means that the registrar will not be able to delay the
registration once they call you. It is likely that the registrar has a long list of informants to contact.
You must not:
• Mix together with other family members who you do not live with to register the death. Covid rules
and guidance still applies and must be followed.
Full names and surname of deceased
Date of Death
Place of Death - The name of the
hospital/nursing home, or the full address
where the person died. (Must be in the area
covered by the City of Southampton). If the
death took place in an ambulance or car,
please record where the vehicle was when the
person died and where it was going to.
Has the death been referred to the Coroner
Yes
No
If yes, has the Coroner advised you can now register the death?
Yes
No
Name and address of the deceased’s
GP Surgery
Do you have the deceased’s National
Health Number?
Yes
No
Number:
Contact details of qualified person able to register the death.
Interested in registration via zoom? (pilot scheme)
Yes
No
Were you present when the death occurred?
Yes
No
Southampton Registration Office – 13 January 2021
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Contact information form for registering deaths (Southampton city (Southampton City Council)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 6 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document