Registering a StillBirth

    Please complete this form if you require a Registrar to contact you regarding registering a stillbirth. A Registrar will contact you within 2 working days. Note: Calls from Registrars will be from an unknown number.

    Please provide the following information so that we can help you with your request:

    1. Person/s we can speak to.
    2. Preferred date/s and time/s that you would like us to call.
    3. Any other information that you wish to provide to help us with your call.

    Alternatively, you may contact a Registrar on 01384 815373, please press option 4.

    Privacy & Disclaimer Statements

    The information that you provide today will be processed in accordance with Data Protection legal requirements.

    To find out more about how we process your personal information please read the Registration Services Privacy Notice.

    Further information can also be found within Dudley Council's Corporate Privacy & Disclaimer Statement.

     

    Contact details

    As you are logged in we already have your Contact details. If you wish to change your details then please go to the profile page.

    You have not provided us with a Title.

    You have not provided us with a First Name.

    You have not provided us with a Last Name.

    You have not provided us with a Email Address.

    You have not provided us with a Postcode.

    You have not provided us with a Property number/name.

    You have not provided us with a Street name.

    You have not provided us with a Postal town.

    Please access your profile page and complete the required information.

    The registration process has not yet been completed. You can do this by confirming your email address, which we have recorded as .
    Accessing the Confirm Email page will send you a confirmation email. Follow the instructions within to complete the registration process. Once complete, you can refresh this page to continue your form submission.

    Not registered?

    Registering makes it easier for you to access our services online and saves the time of entering your contact details for each request. In the future you will also be able to track the progress of your reports and find out about local services and information based on your address.

    I've already registered and would like to login

    I'd like to register for a My Account now