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