Full name*

Company name*

Email address*

Phone number*

Deceased name (Please provide maiden if female and married and also husbands/partners details if known)

Date of birth / Place of birth

Date of death / Place of death

Has the funeral taken place?

Has the death been registered?

Last known address (If died in care home then previous residential home address)

Any knowledge of previous address(es)

Evidence of a Will?

Approximate value of the estate

Any knowledge of debts?

Relevant certificates you may have

Any information regarding race and ethnicity, religious beliefs, cultural practices or values

Any anecdotal evidence as to kin (please provide as much information as possible)