Obtain Death Certificate

Fee: $25.00 plus disbursement of $27.00

Please fill out the following fields as required and click on the Submit Form button at the bottom of this page. You will receive a confirmation message on the next page.

Application for Death Certificate or Registration Photocopy
Applicant Information
Applicant Surname
First and Second Names
Address
City
Province
Country
Postal Code
Email (REQUIRED)
Applicant Phone Number (include Area Code)
Applicant Work Number
Applicant FAX Number
Client File Reference
Death Details
Surname
First Name
Middle Names
Age and Gender	Male, Female
Date of Death	Mon. DD YYYY format
Place of Death	, BC
Permanent Residence before Death
City
Province/State
Country
Birth Information
Birth Place City
Birth Place Province/State
Birth Place Country
Other Information
Number of Services Required	Certificate (Large) $27 per certificate Registration Photocopy $50 per photocopy RUSH Certificate (Large) $60 per certificate RUSH Registration Photocopy $60 per photocopy
Your Relationship to Event	Mother, Father, Spouse, Other:
Reason Certificate Required
	In order for us to process your request we must have your written authority on file. Click here for a blank Letter of Consent; please fill out and fax to 250-386-2377.
Other Information
Instructions or notes
Contact Information
How do you want to be advised?	Email as a PDF, Phone and follow up with Postal Mail, FAX, Postal Mail
Payment Information
Payment Method	On Account, Credit Card, Cash to Representative, Cheque to Representative Apply for a BEST Account now!
If paying On Account, Number
If paying by Credit Card	VISA, MasterCard
Credit Card Number	i.e. 1234 1234 1234 1234
Card Security Code	i.e. 123
Name on Credit Card	i.e. John Q Public
Expiry Date	i.e. 12/06 (MM/YY)

Having trouble? Phone 250-386-2399
and we would be pleased to assist you!

BEST Search & Registry Ltd.
Head Office: #3 - 1312 Stanley Avenue, Victoria, BC, Canada V8S 3S6
Tel: 250-386-2399, Fax: 250-386-2377
E-Mail: info@BEST-Search-and-Registry.com
Website: www.BEST-Search-and-Registry.com

BEST
Search &
Registry
Ltd.