Family members / executors details

First Name required

Last Name required

Relationship required

Phone required

Email required

Country

Address Line 1 required

Address Line 2 (optional)

City required

Postcode required

Death certificate details

First Name of Deceased required

Last Name of Deceased required

Also known as (optional)

Maiden Name required

Date of Birth required

Date of Death required

Where did your loved one pass required

Place of Birth required

Type of Service (optional)

Date of Final Disposition (optional)

Place of Final Disposition (optional)

Born in NZ required

Yes No

If not born in NZ, year of arrival (optional)

Gender (optional)

Was the deceased a descendant of NZ Māori required

Yes No

Usual Occupation (optional)

Ages of children

Daughters (optional)

Sons (optional)

Parent's details

Mother's Full Name (if known)

First Name (optional)

Last Name (optional)

Mother's Maiden Name (optional)

Father's Full Name (if known)

First Name (optional)

Last Name (optional)

Marital Status at Date of Passing (optional)

If married — complete the following

Place of marriage (optional)

Spouse First Name (optional)

Spouse Last Name (optional)

Spouse age if living (optional)

Applicant's age at marriage (optional)

If previously married — complete the following

Place of marriage (optional)

Spouse First Name (optional)

Spouse Last Name (optional)

Spouse age if living (optional)

Applicant's age at marriage (optional)

Your information is handled with care and strict confidentiality by Simply Cremations. Need help? Call us on 0800 920 222.

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Death Certificate Details

Thank you

Simply Cremations

Available

24 hours a day
7 Days a week
New Zealand - North Island

Death Certificate Details

Thank you

Simply Cremations

Available

24 hours a day7 Days a weekNew Zealand - North Island

24 hours a day
7 Days a week
New Zealand - North Island