http://www.geneofun.on.ca/ongenweb
| Ontario Vital Statistics Death Registration Form | ||
| 1912/3+ | ||
| Microfilm # | ||
| Registration # | ||
| County | ||
| Division | ||
| Full Name of Deceased | ||
| Sex | ||
| Age | ||
| Date of Death | ||
| Place of Birth | ||
| Place of Death | ||
| Occupation | ||
| Single, Married or Widowed | ||
| Name of Father | ||
| Maiden Name of Mother | ||
| Cause of Death, if known | ||
| Name of Physician | ||
| Name of Informant | ||
| Address | ||
| Date of Return | ||
| Physician's Return of Death | Physician's Return of Death | |
| Christian Name | ||
| Date of Death | ||
| Disease Causing Death | ||
| Duration | ||
| Immediate Cause of Death | ||
| Duration | ||
| Physician's Name | ||
| Address | ||
| Date of Return | ||
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