Get Death Form

Filling out the Death Form online is a crucial step in documenting and reporting a person's death. This guide provides step-by-step instructions to ensure the process is smooth and comprehensive, catering to users with varying levels of experience.

Follow the steps to successfully complete the Death Form online

1. Click ‘Get Form’ button to obtain the Death Form and open it in your preferred editing platform.
2. In the first section, enter the date of death accurately, using the exact day, month, and year format (e.g., 1-1-2000).
3. Provide the full name of the deceased as it is usually written, and indicate their sex by selecting 'Male' or 'Female'.
4. State the age of the deceased. If over one year, use completed years; if under one year, specify in months; if under one month, in days; and if lesser, in hours.
5. Enter the name of the father or partner of the deceased in the designated field.
6. Indicate the place of death by ticking the appropriate option (Hospital/Institution, House Address, or Other Place) and provide the specific location or name.
7. Fill in the informant's name and their address. The informant will also need to put the date and their signature in the appropriate area after completing all fields.
8. For statistical information, provide the town or village where the deceased resided. This may differ from the death location.
9. Select the religion of the deceased by ticking the relevant box or stating 'Any other religion' and writing the name if applicable.
10. Detail the occupation of the deceased. If none, write 'Nil'.
11. Indicate the type of medical attention received before death by ticking the relevant option (Institutional, Other than institution, or None).
12. Confirm whether the cause of death was medically certified by selecting 'Yes' or 'No'.
13. State the name or actual cause of death, regardless of whether it was medically certified.
14. For female deaths, indicate if the death occurred while pregnant, during delivery, or within six weeks after the end of pregnancy.
15. If applicable, provide information regarding any habitual smoking, chewing tobacco, or alcohol consumption by entering the duration.
16. Once all fields are filled in, ensure you save your changes. You may then download, print, or share the Death Form as needed.

Complete your Death Form online today for a streamlined reporting process.