Office of the Registrar-General | Correction of Error Death Application

Government of Jamaica

Office of the Registrar-General

Application for Amended Death

Form DTHCE

Rev. 12/2025

The more accurate information is provided, the better the chance for prompt and accurate service.
Fields highlighted in red are mandatory

I hereby apply for a certified copy(ies) of the Death Certificate for the following deceased:

Deceased's First Name

Deceased's Middle Name

Deceased's Last Name

Date of Death

Sex (Indicate appropriately)

Male

Female

Hospital or Home Address

Parish of Death

District of Death

Date of Registration

Code

Reg Number

Parish of Registration

Place of Registration (District)

How did the person die?

Applicant's Information

Applicant's First Name

Applicant's Middle Name

Applicant's Last Name

Applicant's Address (Street)

Applicant's Address (Line 2)

Applicant's Address (Town)

Applicant's Country

Applicant's Address (Parish)

Additional address information required for applicants living outside of Jamaica

Applicant's City

Applicant's State

Applicant's Postcode Zip

Applicant's Relationship to Deceased

Email Address

Cell Number

Home Number

Reason for Applying

Delivery/Pickup Location

Special Instruction

IF VALID DATA WAS NOT ENTERED IN THE MANDATORY FIELDS THIS APPLICATION CANNOT BE PROCESSED

Clear