You will receive a telephone call from the Medical Examiner Office before the Medical Certificate of the Cause of Death is issued. They cover all deaths in England and Wales that are not investigated by the coroner. A Medical Examiner is an independent Doctor that has not been involved in your loved one’s care. They speak with the treating Doctor to discuss the deceased’s care and the cause of death. They ensure that the information written on the Medical Certificate of Cause of Death (MCCD) is correct, that any deaths that need to go to the coroner are made in a timely fashion to avoid any delays, and that the bereaved have a chance to ask questions about the cause of death and reflect on the care provided. They will let you know whether you can contact the registrar to make an appointment to register the death. You cannot make an appointment until the registrar is in receipt of the Medical Certificate of Cause of Death (MCCD).  After confirmation from the Medical Examiner’s Office, an appointment with your local registrar must be made within five days. This ensures the death is officially registered and that you receive the necessary documents. A death must be registered in the district office of the county where the death happened. If you live elsewhere, some offices allow registration by declaration.  Please note, this should be completed within five days of confirmation by the medical examiner.