Fillable Printable Funeral Checklist
Fillable Printable Funeral Checklist
Funeral Checklist
No Funeral
No Flowers
No Fuss
No Funeral, No Flowers, No Fuss Pty Ltd
PO Box 429 Turramurra NSW 2074
Website: www.nonono.com.au
E-mail: [email protected]
Telephone: 1300 854 971
ABN : 40 110 059 099
Funeral Checklist
We offer our servi ce s from all major crematoriums and cemeteries.
Ho w: — the primary decision:
Burial, or Cremation
Type of Service:
No attendance
Gathering at a crematorium chapel /graveside only
Private/family cremation/burial → memorial service
Church service → cremation/burial
Other (please provide details below):
Where:
We offer services from all major crematoriums and cemeteries.
Church, crematorium chapel, or cemetery (please detail below):
Memorial Service Details:
(please see accompanying
information for funeral and
memorial service option s)
Some people know a Minister o f religion who will conduct a ceremony.
Others nominate a religion and leave it to the funeral con su ltant to
arrange, or opt for a civil celebrant.
No formal ceremony
Family to organise
Consultant to organise — Minister Priest Celebrant
Local Minister or Priest (please provide details below):
Death & Fun eral Notices:
There are several options regarding advertising for funerals. There is no
legal requ irement to put a notice in th e paper.
Death notice only Death and funeral notice
Before cremation/burial After the service as a matter of record
No advertising
Newspaper details (please provide details below):
Flowers:
You may wish to give some directions about floral tributes.
No flowers Family flowers for coffin only Flowers welcome
Leave to people's discretion Donations in lieu of flowers to
Please provide details below:
No Funeral, No Flowers. No Fuss. Telephone: 1300 854 971 Funeral Checklist page 2
This form was completed by ............................................................................
On (date): ....................................... Signed: ................................................
Please note: we recomm end that this confidential form be filled in and left with your personal papers
(next of kin or executor to be informed).
Viewing:
Would you mind if relatives and friends wanted to view your body? This
could take place immediately before the funeral in the chapel, or in the
evening before the service.
No viewing
A viewing for family who wish to
Funeral viewing — open coffin at service
Comments (please provide below):
Directions for Ashes
Ashes are normally ready within one week of cremation, but with prior
arrangement can be available within one working day.
To be scattered to the 4 winds
Leave at crematorium (crematorium to contact family)
Funeral consultant to collect and return
To be placed in a wall/garden
To be placed in an urn
Please specify (please provide details or further comments below):
Coffin
A standard pine-board coffin with teak wood-grain finish is provided in the
fixed price. If you are interested in our coffin range please contact us for
more examples.
I would like a different coffin.
I have selected the following solid wood coffin from the available range
(please fill in the name of the coffin):
Other things to consider
* What music or hymns do you want at the service/gathering?
* Do you want/entitled to RSL attendance (flag on coffin)?
* Refreshment details?
* Wording for memorial plaque?
* People to be contacted in the event of death?
* Do you have a pre-paid funeral bond?
* A photo for an Order of Service booklet.
Please provide details below:
No Funeral
No Flowers
No Fuss
No Funeral, No Flowers, No Fuss Pty Ltd
PO Box 429 Turramurra NSW 2074
Website: www.nonono.com.au
E-mail: [email protected]
Telephone: 1300 854 971
ABN : 40 110 059 099
Information Statement
The information below is required by the Registrar of Births, Deaths and Ma rriages
Personal Details
Surname:
Christian Names:
Better known as:
Usual Address:
Ho w long at this address:
Formerly of:
Date of Birth
Retired?
NO YES
Pension Type:
Usual Occupation during
working life:
Place of Birth:
If born overseas, what year did
you arrive in Australia?
Father's Full Name:
Mother's Full maiden name:
Present Marital Status:
Never Married
Married
Divorced
Separated b ut not di v o rced
Widow or Widower
Unknown
De-Facto (please provide details on the next page).
No Funeral, No Flowers. No Fuss. Telephone: 1300 854 971 Information Statement page 2
First Marriage (provide details of any marriage)
Full name of spouse at
marriage:
Age at marriage:
years
Place of Marriage:
Second Marriage
Full name of spouse at
marriage:
Age at marriage:
Place of Marriage:
Any subsequent marria ges:
YES
(Please indicate here and provide details in the space overleaf)
De-Facto Relationship (at time of Death)
Age at commencement:
years
Partner's given names:
Partner's surname at
commencement of relationship:
Children's Details (all offspring and legally adopted children)
Full Name Date of Birth
Child 1:
Child 2:
Child 3:
Child 4:
Any subsequent
children:
YES
(Please indicate here and provide details in the space overleaf)
Next of Kin Details
Name Address Telephone
Other Details
(Required for Health Department Forms)
Executor details:
Usual Doctor's name
and address:
No Funeral, No Flowers. No Fuss. Telephone: 1300 854 971 Information Statement page 3
I certify that the information given is correct, and I understand the Law provides
a penalty for failure to provide information or for the provision of false
information.
Name ....................................................................
Address ............................................................................................................
Telephone ..................................Signed...........................................................
Relationship to the named person: .....................................................................
Date: .............................................
Please note: once the death has been registered by us with the Registrar of Births, Deaths and
Marriages, a mendments will incur a fee.
Fax this document to: 02 9484 4060
E-mail as an attachment to: [email protected]
Notes
Subsequent
Marriage
Details:
Subsequent
Children's
Details:
