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NSW Death Certificate – Application Form

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Death Details

You will need to scan your ID documents as you will need to upload them during the online application process.

Death occurred in New South Wales?(Required)

Yes

If the death was outside of NSW, then you need to apply to the Registry office in that state or territory. Click on the link for interstate registries contact details.

Place of Death in NSW (Suburb/ Town)(Required)

Details of person registered on the Certificate

Family Name of Deceased(Required)

First Given Name(Required)

Other Given Name(s)

Family Name at Birth(Required)

Registration Number Known(Required)

Yes

Registration Number(Required)

Registration Year(Required)

Date of Death Known

Yes

Date of Death(Required)

Day

Month

Year

Date of Death Year From(Required)

Day

Month

Year

Date of Death Year To(Required)

Day

Month

Year

Parents Details

Parent One(Required)

Current Family Name(Required)

Family Name At Birth(Required)

First Given Name(Required)

Other Given Name(s)

Parent Two

Current Family Name

Family Name At Birth

First Given Name

Other Given Name(s)

Spouse Details

Current Family Name

Family Name At Birth

First Given Name

Other Given Name(s)

Application Details

Relationship to Registered Person(Required)

Other

Reason for Certificate(Required)

Other

Applicant Details

Family Name(Required)

First Given Name(Required)

Other Given Name(s)

Contact Number

Email Address(Required)

Enter Email Confirm Email

Other Details

If you are applying on behalf of an organisation, please provide the details.

Organisation Name

Organisation Reference

Residential Address

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Postal Address

Please provide a postal address if different to residential address.

Same as Residential Address

Yes

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Identification

Please select a minimum of three documents from Category 1 to Category 3.

Category 1(Required)

Category 2(Required)

Category 3(Required)

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

New Zealand Birth Certificate

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Australian Citizen Certificate

Family name

Given names

Date of birth(Required)

Day

Month

Year

Stock number(Required)

Acquisition date(Required)

Day

Month

Year

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Australian Birth Certificate

State(Required)

Family name(Required)

Given names(Required)

Date of Birth(Required)

Day

Month

Year

Registration number

Registration year

Certificate number

Registration Date

Day

Month

Year

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

New Zealand Citizen Certificate together with Passport

Document number

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Firearms License (Current)

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Foreign Passport

Document number(Required)

Expiry date(Required)

Day

Month

Year

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Proof of Age Card

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Australian Passport (Current)

Family name

Given names

Date of birth(Required)

Day

Month

Year

Document number(Required)

Sex as shown on document(Required)

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Australian Drivers License (Current)

Family name

Given names

Middle Name

Date of Birth(Required)

Day

Month

Year

Licence number(Required)

Card number(Required)

Expiry date(Required)

Day

Month

Year

State(Required)

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Medicare Card

Name of person providing ID as listed on Medicare(Required)

Medicare Card number(Required)

Individual Reference number(Required)

Medicare Card Colour(Required)

Expiry date(Required)

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Centrelink Card

Name(Required)

Document number(Required)

Birth date(Required)

Day

Month

Year

Expiry date(Required)

Day

Month

Year

Card type(Required)

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Department of Veterans Affairs Card

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Tertiary Education Institution ID Card

Document number

Expiry date

Day

Month

Year

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Maritime Security Identification Card (MSIC)

Full Name(Required)

Document number(Required)

Birth date(Required)

Day

Month

Year

Expiry date(Required)

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Aviation Security Identification Card (ASIC)

Full Name(Required)

Document number(Required)

Birth date(Required)

Day

Month

Year

Expiry date(Required)

File(Required)

Max. file size: 2 GB.

Add attachments

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Security Guard/Crowd Control License

File(Required)

Max. file size: 2 GB.

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Person giving authorisation - Document 1

Document number(Required)

File(Required)

Max. file size: 2 GB.

Person giving authorisation - Document 2

Document number(Required)

File(Required)

Max. file size: 2 GB.

Person giving authorisation - Document 3

Document number(Required)

File(Required)

Max. file size: 2 GB.

Letter of permission or authority from next-of-kin - Spouse, child, parent, informant

File(Required)

Max. file size: 2 GB.

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Copy of document establishing legal entitlement

Document number(Required)

File(Required)

Max. file size: 2 GB.

Please attach the required documents. Please note that the Registry can only start processing your application once all documents are submitted and verified.

Please enter name details as they appear on the identity documents.

Practitioner Identification (i.e. Law Society ID, practitioner certificate)

Document number(Required)

File(Required)

Max. file size: 2 GB.

Letter on company letterhead including name of client and reason for request

Document number(Required)

File(Required)

Max. file size: 2 GB.

NSW Birth Certificate assistance, management and processing service.

Credit or Debit Card(Required)

Certificate type:	Death Certificate
Delivery time:	1–2 weeks (approx.)
Total	AUD 129.00

This price includes application management, processing and assistance costs, government fees and taxes. The certificate will be sent directly by the NSW Registry of Births, Deaths and Marriages to the address provided in your application.

ⓘ Delivery times may vary depending on government processing and postal services.

Consent(Required)

I have read, understood and accept the privacy policy and the terms and conditions.(Required)

The NSW Registry of Births Deaths & Marriages administers the Births, Deaths and Marriages Registration Act 1995 (NSW). The information required on this form is collected under the provisions of this Act. This legislation is available at: www.legislation.nsw.gov.au.

The information held by the Registry may be used for statistical purposes and by law enforcement agencies as well as other uses provided for by law. The Registry may also wish to contact you for research or surveys. Such access for approved purposes may be granted to other Registries and certain government agencies (including the Passports Office, the Department of Immigration and Citizenship, and motor vehicle or driver licensing authorities) and to authorised non-government agencies.

To protect your privacy, the Registry requires proof of your identity. In line with the Privacy and Personal Information Protection Act 1998 (NSW), the Registry is collecting this information so that it can determine your eligibility to obtain this certificate, and to prevent fraud.

By completing this application form you consent to the release of information provided by you, to those agencies who may be able to validate that information in support of your application. This information may be provided to agencies including (but not limited to) other Registries of Births, Deaths and Marriages, law enforcement agencies, the Department of Foreign Affairs and Trade, the Department of Immigration and Citizenship, and motor vehicle or drive licensing authorities. Usually these referrals will be to simply verify the documents or other evidence that you have provided to us in making your application. If there are discrepancies, we may require you to correct any errors with the issuing agency, before being able to process your application. It is extremely important that all your identity documents are accurate and reflect your correct identity information.

Documents provided as proof of identity may have their authenticity verified through the online certificate validation service (CertValid) or the National Document Verification System (DVS). Documents issued by this office may also ve verified by other organisations using CertValid and/or DVS.

It may be an offence to give false information in this application.

False Information: If you knowingly provide false information in this application, you may be guilty of an offence under Section 57 of the Births, Deaths and Marriages Registration Act 1995.
Section 57 - False representation: A person who makes a representation in an application, notice or document under this Act or in response to a notice under Section 44 of this Act (Registrar's powers of inquiry), knowing the representation to be false or misleading in a material particular, is guilty of an offence. Maximum penalty: 100 penalty units or 2 years imprisonment, or both.

*By clicking on the 'I have read, understood and accept the privacy policy and the terms and conditions' box and submitting this application I certify that I have read and understood all the information outlined in the declaration above.