Pre-arrangement of Funeral Services Form

Pre-arrangement of Funeral Services

A copy of this form can be given to your solicitor with a further copy being given to The Lychway Funeral Directors to be kept in their company’s funeral pre-arrangement file. Your Name (required) Your Email (required) Venue for Service Burial or Cremation Music/Hymns Officiant/Celebrant Flowers Donations to All deaths that occur in New Zealand are required to be registered at the Department of Internal Affairs. The following information is requested Full name Name at Birth (if different) Address Occupation Date of Birth Place of Birth Ethnic Origin War Service Number War Rank Unit/Regiment Father’s Full Name Father’s Occupation Mother’s Full Name Mother’s Occupation Mother’s Maiden Name Spouse’s Full Name Place of Marriage Age at Marriage Daughter’s Date of Birth Son’s Date of Birth