Government of Ontario
ServiceOntario
Office of the Registrar General

Request for Death Certificate
(For deaths which took place in Ontario only)

If you have any questions, please contact the
Office of the Registrar General
189 Red River Road
PO Box 4600
Thunder Bay ON  P7B 6L8
Telephone:1-800-461-2156 (outside of Toronto)
                   416-325-8305 (in Toronto)
                   416-325-3408 (TTY/Teletypewriter)
Fax:            807-343-7459


Please PRINT clearly in blue or black ink.

In the context of this form, the word ‘Applicant’ refers to the person completing this Request.

Applicant Name


Mailing Address







What Information are you Requesting and How much will it Cost?

This contains basic information, such as name, date and place of death.
$15.00 each                

This contains all information registered on the Statement of Death including signatures.
$22.00 each                

This contains all information registered on both the Statement of Death and Medical Certificate of Death including signatures and cause of death information.
$22.00 each                

A search results in a letter that either confirms a death registration exists or that there is no registration. If you don't know the exact date of death, choose a year based on information you may have obtained for this purpose, and write it in the space provided for the date. We will search that whole year plus two years before and after, for a total of five years. You may also request a search of additional years, in increments of five years.

       Each 5 years searched $15.00    

The Office of the Registrar General holds records for deaths that happened in Ontario during the past 70 years.
To obtain older records, contact:
The Archives of Ontario

134 Ian Macdonald Boulevard
Toronto ON  M7A 2C5
1 800 668-9933
416 327-1600

Details of Deceased Person








If the person was married or in a common-law relationship at the time of death, name of spouse or partner







Details of Applicant

(If you are only applying for a death certificate, please skip this section.)

If you are applying for a Certified Copy of a Statement of Death and/or a Medical Certificate of Death (Long Form or Extended Long Form), please indicate to which category of entitled individuals (see Instruction #1) you belong:

Next of Kin

        



When you request a Certified Copy of Statement of Death, the Office of the Registrar General requires you to certify that you are the Next of Kin or if all the Next of Kin are deceased, you are the Extended Next of Kin.



. I certify that I am the Next of Kin, or all of the Next of Kin are deceased, and I am the Extended Next of Kin.

Authorized Representative

Why are You Requesting this Information? (Select One)

  
  

I authorize the Office of the Registrar General to issue the requested document/information, and consent to the Ministry of Government Services collecting information about myself and the person(s) named on the Record from such other sources as may be necessary to verify the information on this form and my entitlement to the service required, and to the disclosure of such information to the Ministry of Government Services. I am aware that it is an offence to wilfully make a false statement on this form.




Personal information contained on this form is collected under the authority of the Vital Statistics Act, R.S.O. 1990, c.V.4 and will be used to provide certified copies, extracts, certificates, or search notices and to verify the information provided and your entitlement to the service requested and for security and law enforcement purposes. It is an offence to wilfully make a false statement on this form. Questions about this collection should be directed to: The Deputy Registrar General, Office of the Registrar General, 189 Red River Road, PO Box 4600, Thunder Bay ON  P7B 6L8.
Telephone outside Toronto:1-800-461-2156 or in Toronto: 416-325-8305, TTY/Teletypewriter (for the hearing impaired) 416-325-3408, or Fax: 807-343-7459.

Instruction #1
Next of Kin are entitled to apply for a Certified Copy of a Statement of Death and/or a Medical Certificate of Death. Next of Kin include: *Spouse, **Common Law Partner, Mother, Father / Other Parent, Daughter, Son, Sister, and Brother.
If all of the above individuals are deceased, the Extended Next of Kin may apply. Extended Next of Kin include: Grandmother, Grandfather, Aunt, Uncle, First Cousin, Niece, Nephew or Grandchild.

*Spouse means either party to a marriage.
**Common Law Partner means two people living together continuously in a conjugal relationship outside of marriage for a period of no less than 3 years or two people who have lived together in a relationship of some permanence if they are the parents of a child.

Instruction #2
Authorized Representatives include an estate trustee, an executor or administrator, a person with power of attorney or a person with legal guardianship acting on behalf of the deceased or an entitled individual.

Instruction #3
Proof of Authorization includes a certificate of appointment of estate trustee, letters of administration, a will, proof of power of attorney and proof of legal guardianship.

Instruction #4
An “other parent” refers to a person who is named as a parent on the deceased’s birth registration, where the biological father of the deceased is unknown and the deceased was born from assisted conception with an anonymous sperm donor.

Mail the Completed Request to:
The Office of the Registrar General
189 Red River Road
PO Box 4600
Thunder Bay  ON P7B 6L8
Fax: 807-343-7459

If you require faster service than 6-8 weeks, please apply online at www.serviceontario.ca

Payment Method and Credit Card Authorization

Applicant’s Information


Person Named on the Death Certificate



Your Payment Options



Credit Card Information


Name of Credit Card Company