|APPLICATION FOR A DEATH CERTIFICATE
PLEASE COMPLETE ALL SECTIONS OF THIS FORM
(Print this page with a medium size font.)
| APPLICANT'S DETAILS
Full Postal Address:
(We will only contact you if we have
difficulty finding your requested certificate, or to take payment. Please ensure you supply your telephone number so the Register Office can call you to take your payment.)
It would help us if you would state the purpose for which the certificate is required
Please state your relationship to the person to whom the certificate relates
| DETAILS OF THE DEATH CERTIFICATE
Name: PARKER, Phyllis May
Other surname that may be relevant: COTTON
Year of death: (not given)
Please contact the Registrars, address
below, if you require a short or recent certificate.
||Number of certificates required:
|POSTAGE Please add £1.50 UK for post and
|METHODS OF PAYMENT
|Cheques are no longer accepted by the Register Office. Postal orders (in UK Pounds)
should be made payable to "IWC".
The Isle of Wight Register Office aim to return
applications within two working days. If we have a problem
with your application we will always try to contact you in the
Arrangements can be made to pay by credit card
-- please contact us by email -- see below.
Please send your application to: Isle of Wight Register
Office, Seaclose Offices, Fairlee
Road, Newport, Isle of Wight,
Tel. 01983 821000.
International +44 1983 821000
| Signature ......................
| (POSTAL APPLICATIONS ONLY)
|I enclose a postal order made payable to "IWC" to the value of _______.