Application for a copy death certificate

If you wish to obtain a copy certificate for a death that was registered in Salford you can apply and pay for your copy certificate online by using this form. Once you have completed the form click the "Confirm" button and you will be asked to enter your card details.

Please read these additional notes before completing this form.

This online service is not available for requesting copy certificates where the registration date is very recent ie. within the last 6 months. Please contact 0161-909 6501 to request these certificates.

Part 1

Applicant's contact details / delivery address:

Title: *
Name: *
Address line 1: *
Address line 2: *
Address line 3:
County: *
Country: *
Postcode: *

E-mail address: *
Telephone number: *

Part 2

Relationship to the person to whom the certificate relates:

Please state your relationship to the person:

Part 3

Details of death certificate required:

Firstname(s) of deceased: *
Lastname of deceased: *
Occupation:
Area of death: *
District of death:
Place of death (or other):
Other:

If an accurate date is not known please provide us with one or more possible years of death:
Date of death: (dd/mm/yyyy) *
Other possible years of death: or or
Date of birth or Age at death:

If a married woman, please give firstname and lastname of husband:
First name:
Last name:

Part 4

Requirements:

I require * death certificate(s) at £8.00 each.

Fields marked with a red asterisk * are mandatory and must be completed.

If you believe later, that you have submitted incorrect information then please contact the :-

Name: Salford Register Office
Address: Salford Civic Centre
Chorley Road
Swinton
SALFORD
M27 5AW
Telephone: 0161-909 6501
Email: birthsanddeaths1@salford.gov.uk