Full name and address as it appears on the death certificate
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Date of birth
Date of death
Did the deceased live permanently in England and Wales?
YesNo
What was the marital status of the person who died when they died?
Never married
Widowed, their spouse or civil partner having died before them
Married/in a civil partnership - give date
Divorced/civil partnership dissolved - give date
Judicially seperated - give date
