Uneek Civil Ceremonies... Funeral Service Arrangement Form. Please answer all questions before using SUBMIT button

Full Name of Deceased (include middle names) *

0/50 characters

Maiden Name:

Nickname/Known as:

Age:

Date of Death: +

Where did he/she die?

Marital Status:

Cause of Death:

Did he/she die peacefully?

Yes

Did he/she suddenly?

Yes

Next of Kin:

Relationship?

Person arranging the funeral if different from above?

Relationship?

Contact telephone number: *

email address:

Funeral Details.

Crematorium/Cemetery:

Funeral Date: +

Funeral Time:

Funeral Director (If known)

Music and/or Hymn request:

Entry Music (For Congregation):

Entry Music (For Coffin): 🛈

Reflection Music: 🛈

Exit Music:

Additional Music: 🛈

Hymn 1: 🛈

Hymn 2:

Would you like a Bible reading?

Yes

Would you like a Prayer?

Yes

Will anyone else like to speak or read, If so, whom?

Any specific readings or poems?

Numbers expected to attend:

Are you having a reception afterwards, is so where? 🛈

Are you having a collection for charity, if so whom?

Is the service being Webcast to allow viewing online? (Crematoria only)

Yes

Have we assisted with a previous funeral service; if so, name of deceased?

Information regarding the deceased:

Date of Birth: +

Where were they born?

Parents Names: Please intimate whether living (L) or deceased (D)

Siblings: eldest first. Please state whether Living (L) or Deceased (D) Please use one line per name. 🛈

Position in family: example Eldest.

What area was he/she raised?

Primary School:

Secondary School:

Further Education: 🛈

Occupations and places of work since leaving education:

Spouse or Partner's Name:

Further information regarding Spouse or Partner: 🛈

Where met Spouse or Partner and approx year:

Date of Marriage: 🛈 +

Where married:

Children: Eldest first/their partners. Click + to add names. 🛈

Grandchildren:

Number of Great-Grandchildren:

How did the Grandchildren refer to him/her? eg. Nana/Grandad

Any specific friends to be mentioned?

Hobbies and Social Life: 🛈

Family holidays and outings:

What was their character/personality?

Additional information/Humorous stories etc.

If you need any assistance, please call John on 0771 258 1234

Email: john@uneek.co.uk

www.uneek.co.uk

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