Before completing this form, please read the following information:

If you have already registered the death through the county council's Tell Us Once' service, you do not need to complete this form.

The Tell Us Once scheme means that when the registrar collects details from you about the death, they can then pass this information through to other agencies on your behalf.

This will help you get benefits sorted out quickly, avoid the need to send copies of the certificate by post to other organisations and stop receiving mail from these agencies addressed to a deceased relative.

Relevant information will be passed to:

• Department for Work and Pensions
• HM Revenue and Customs (for tax, credits and benefits)
• Identity and Passport Service
• Housing and council tax offices.

You can also request that information is passed to:

• electoral services
• libraries
• children's services
• Blue Badge parking scheme
• Driver and Vehicle Licensing Agency.

Once these organisations have the details they will use the information to update records, start or amend benefits and resolve outstanding issues.

For more information and details on how to book a Tell Us Once appointment, visit Staffordshire County Council's website.