Direct Burial Form

Details of the Next of Kin

Full Name

Address

Telephone

Funeral Arrangements for the Deceased

Full Name of the Deceased

Date of Birth

Date of Death

Weight

Height

Address of Deceased (if different from above).

Conveying From

Burial At

New Grave

Single Grave

Double Grave

Grave Number

Further Details

The Deceased to be Dressed in the following prior to the Funeral

Clothing Supplied by Family

Shroud Supplied by the Funeral Director

No Clothing

The Deceased to be Dressed by

Family Members

Any of the Undertaker's Staff

Undertaker's staff of the same Sex as the Deceased

Would you like a Memorial Name Plaque?

Yes

No. The Family will liaise with the burial ground

Make of Coffin

Coffins liners are a legal requirement; a fee of £95 will be automatically added to your estimate

We will send through our quote after a consultation. Please ensure that you read through these thoroughly, and it be returned with a signature before the commencement of the funeral.

Coffins liners are a legal requirement; a fee of £95 will be automatically added to your estimate

Payment will be required at least 24 hours before the service.

Additional forms required to be filled out after request submission. We will be in contact regarding this information and will guide you throughout the whole process. Please contact us for any additional information needed before submitting the form.

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Independent, Family-Run, Funeral Directors

Available 24/7: 01306 740 407

Direct Burial Form

Details of the Next of Kin

Funeral Arrangements for the Deceased

Further Details

Payment will be required at least 24 hours before the service.