Online Funeral Arrangement

Online Funeral Arrangement Form

This online funeral arrangement form allows you to send us all the information we need to arrange a funeral, including information required to register a death in Queensland with the Department of Births, Deaths and Marriages.

Please make sure you complete the form fully and carefully, and take time to check the spelling of names and places. This form can be used for pre-arrangements (including self-pre-arrangements), please be aware the word ‘deceased’ is used when this does not yet apply - no offence is intended.

This form consists of five parts:

Part A - Applicant's Details

Part B - Deceased's (or Pre-arrangement) Details

Part C - Funeral Arrangements

Part D - Additional Options

Part E - Notes

We will contact you as soon as possible to verify the information you provide.
* Means that the field is required.

Online Funeral Arrangement

Applicant's First Names *

Applicant's Last Name *

Mobile

Home Phone

Work Phone

Email Address

Preferred Contact Method

Applicant's Home Address - Not a PO Box

Postal Address

Applicant's Date of Birth

Deceased First Names

Deceased Last Name

Home Address - Not a PO Box

Gender

Martial Status

Religion

Occupation during working life

Retired

Date of Birth

Place of Birth - Town

Place of Birth - State of Australia or Country

If born overseas - year arrived in Australia

Date of Death

Place of Death

Father's First Names

Father's Last Name

Father's occupation during working life

Mother's First Names

Mother's Maiden Name

Mother's occupation during working life

Age when most recently married

Spouse's First Names

Spouse's Last Name or Maiden Name

Place of Marriage - Town

Place of Marriage - State of Australia or Country

If married more than once include the same details as above

1st Child's First Names

1st Child's Date of Birth

2nd Child's First Names

2nd Child's Date of Birth

3rd Child's First Names

3rd Child's Date of Birth

4th Child's First Names

4th Child's Date of Birth

5th Child's First Names

5th Child's Date of Birth

If more than 5 children - include the same details as above

Burial or Cremation

Funeral Service Type

Name of preferred Cemetery or Crematorium

Name of preferred Church or Other Venue - if needed

Minister/Priest or Celebrant/MC

Is the Deceased a Returned Service person

Other Clubs or Associations

Does the Deceased Person have a Pacemaker and/or other Radioactive Implant

If you have selected a Cremation Urn from our website - enter a brief description

Grave Details

New Grave Portion or Area

Religious/Cultural or Traditional Graveside Requirements

If you have selected a Coffin or Casket from our website - enter the name here

Casket Spray of Flowers needed

Newspaper Notice needed

Registered Death Certificate needed

Viewing of the Deceased wanted

Memorial Book wanted

Funeral Service Music needed

Order of Service needed

DVD Photo Presentation needed

Catering needed

Notes

Do you wish to be sent a Quote

Online Funeral Arrangement

Online Funeral Arrangement Form

This form consists of five parts:

Online Funeral Arrangement

For help with online funeral arrangement, call us on 07 3392 9919 day or night, seven days a week.

For help with online funeral arrangement,
call us on 07 3392 9919 day or night, seven days a week.