Funeral Arrangement Form

You can arrange a funeral by completing the form below and then clicking the Send button.

Most of the questions we ask on this form are a legal requirement for death registration, but some others are optional.

If you don’t have all the information we ask for at the present time, you should complete what you can and we’ll work with you to complete the remainder.

The five minimum items of information we’re required to collect are marked with a asterisk *.

Deceased Personal Details


NoYes

Deceased Parents

Deceased's Marriages

Marital Status Never MarriedMarriedWidow(er)Divorced

First Marriage

Spouse Deceased

Second Marriage (If Applicable)

Spouse Deceased

Third Marriage (If Applicable)

Spouse Deceased

Fourth Marriage (If Applicable)

Spouse Deceased

Fifth Marriage (If Applicable)

Spouse Deceased

Deceased's Children

First Child

Second Child

Third Child

Fourth Child

Fifth Child

Sixth Child

Seventh Child

Eighth Child

Ninth Child

Tenth Child

Service Details




YesNo

Contacts

Next Of Kin / Executor

Person Completing This Form

Preferred Contact Person



Other