Manitoba Death Certificate – Form

Step 1 of 5

Select your province or territory:(Required)

The province or territory where you currently reside.

We're sorry, we can't assist residents of Quebec.

Death details

Enter exactly as registered in Manitoba.

Last Name of Deceased(Required)

All Given Names(Required)

Sex(Required)

Date of Death(Required)

Approximate Age at Time of Death

Optional. Whole number.

Place of death - City or Town (Manitoba)(Required)

Death must have occurred in Manitoba. Start typing to search the list - it includes over 2,000 Manitoba localities. Select OTHER only if yours is not there.

Other Place of Death (City or Town)(Required)

Province

Certificate

Which certificate do you need?(Required)

One copy. Language (English/French) is part of your selection.

Applicant's details

"Applicant" is the person who is completing this online request. An "Applicant" must enter their contact information so they can be contacted if problems arise with their request.

Last Name(Required)

All Given Names(Required)

Daytime Telephone Number(Required)

Alternate Telephone Number

Email Address(Required)

Enter Email Confirm Email

Preferred Method of Correspondence(Required)

Applicant's delivery address

The delivery address is the location where the certificate(s) will be sent.

Country(Required)

Postal / Zip Code(Required)

Address line 1(Required)

Address line 2

City / Town(Required)

Province / State(Required)

Service type	Manitoba Death Certificate Application Service
Certificate provided	Death Certificate
Processing time	about 1 to 2 weeks, plus delivery
Total	$99.00 CAD

Manitoba Death Certificate – Form

Eligibility

Death details

Certificate

Applicant's details

Applicant's delivery address