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You are here: Medway Council >
Registration of births, deaths and marriages
> Application for a death certificate
Medway Council Certificate Request
**** INSERT NOSCRIPT SECTION HERE!! ****
APPLICATION FOR A DEATH CERTIFICATE
FOR INFORMATION ABOUT DEATH CERTIFICATES
SELECT THIS LINK
TO THE REGISTRATION OFFICER HAVING CUSTODY OF THE REGISTER
*All fields marked are mandatory
1
APPLICANT
Your full name*
Mr
Mrs
Miss/Ms
Your postal address*
Postcode
Telephone Number
2
Please state your relationship to the person whom the certificate relates:
3
It would help us if you would state the purposes for which the certificate is required: