Funeral Enquiry Form

When you’ve suffered a bereavement, we understand that you might not feel up to talking to someone yet. Don’t worry – if you fill out the form below with some information about yourself, and some information about the person that has passed away our specialist team can advise you what the cost of the funeral would be and contact you to discuss the necessary arrangements. We’re here for you during this difficult time.

    Your details

    Your name

    Your address

    Your phone number

    Your email address

    Details of the deceased

    Name

    Address

    Age

    Date & time of death
    at

    Religion

    Where is the deceased currently lying?

    Name of doctor/GP

    Next of kin details

    Name

    Relationship

    Funeral details

    Would you like to arrange a

    Is there a church/chapel you would like to use?

    If there is any additional information you would like us to know, feel free to write it in the space below.

    What would you like us to do next?