Direct Burial Form Details of the Next of Kin Full Name * Address * Telephone Email * 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. Submit 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. If you are human, leave this field blank.
