Information Needed For Death Certificates

Death Certificate Information

Filling out the information for the Death Certificate is very helpful.

The idea here is that you have a copy of this information on file. The form below will be emailed back to you for your records.

Some of the information may change over time and we can make adjustments when needed.

Please contact me if you have any questions or concerns.

This is information for your convenience only.

Full Name

Full Name at birth (if different)

Date of Birth

City / Town (and country, if not NZ) of Birth

If born overseas, the year you moved to NZ

What is/was your occupation or career

Descended from Maori

Which ethnic group to you belong to

How old and the gender are your children (their DOB). If a child has died put a "D" next to their age when they died

Daughter(s) date of birth

Son(s) date of birth

Your mother's full name

Your Mother's full name at birth (maiden name)

Mother's occupation

Your Father's full name

Your father's full name at birth (if different)

Father's occupation

Are you a Marriage or Civil Union Celebrant

Are you a Justice of the Peace

Do you hold any public awards or honours (not armed forces)

Relationship at time of death (if known)

Most recent or current relationship (marriage/civil union/de facto relationship)

Your age at date of marriage/civil union - not needed for de facto

Town / City of marriage/civil union (include country if not NZ) - not needed for de facto

Full name of spouse (maiden) / partner Wedding / Civil Union / De Facto

Sex of Spouse / Partner and DOB (if living) Marriage / Civil Union / De Facto

Type of relationship (marriage/civil union/de facto relationship)

Your age at date of marriage/civil union - not needed for de facto

Town / City of marriage/civil union (include country if not NZ) - not needed for de facto

Full name of spouse (maiden) / partner Wedding / Civil Union / De Facto

Sex of Spouse / Partner and DOB (if living)

Type of relationship (marriage/civil union/de facto relationship)

Your age at date of marriage/civil union - not needed for de facto

Town / City of marriage/civil union (include country if not NZ) - not needed for de facto

Full name of spouse (maiden) / partner Wedding / Civil Union / De Facto

Sex of Spouse / Partner and DOB (if living)

Your Email