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
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
If yes, has the Coroner advised you can now register the death?
Name and address of the deceased’s
GP Surgery
Do you have the deceased’s National
Health Number?
Contact details of qualified person able to register the death.
Telephone number (This number will be
used to complete the death registration
over the telephone
Alternative telephone number
Interested in registration via zoom? (pilot scheme)
Your relationship to the deceased?
Were you present when the death occurred?
Southampton Registration Office – 13 January 2021