PLEASE READ before completing this form

As a service to you and your family, F.Greed & Sons have prepared the pre-arrangement information on line for details regarding your funeral arrangements

When completed this will contain valuable and personal information, which is required when arranging a funeral. This information will assist your family to meet legal requirements at the time of death and fulfill your wishes.

F .Greed & Sons staff will be available to assist you, should you have any difficulties in completing the questions.

When completed, we recommend that you submit this information and print yourself a copy. We will also post you a typed copy from our office.

  • If you cannot answer a question, write 'unknown'
  • If a person is deceased add (Dec) after name

It is important to submit this form once completed for filing.

We will post the typed copy of this pre-arrangement to the address you have given in your details below.

 

YOUR DETAILS

Title:
 Ms
Surname:
Given names(s):
Place of birth:
Date of birth:
Address:
Postcode:
Phone:
Mobile:
Occupation: (During working life)
Pension: (type & number)
Are you of Aboriginal or Torres Strait Island origin?


Have you lived in Australia all your life?



If NO what year did you come to Australia
   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARENTS DETAILS

 

Fathers full name:
Father's occupation:(During working life)
Mother's full name:
Maiden name:
Mother's occupation:(During working life)

 

 

 

 

 

MARRIAGE DETAILS

Current marital status  


  Age at marriage Place of Marriage Date of Marriage Name of Spouse (Prior to this marriage , full name)  
1
2
3  
4  
5

CHILDREN

Given first names, current surnames, gender and date of birth of all children including legally adopted, still born or deceased.
   
Given Names
Surname
Gender
Date of birth
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YOUR FUNERAL SERVICE

Minister / Celebrant  
   
Church:
  
Religion /Town
 
Other:
  
Chapel/Garden/Farm/Graveside/Hall/Own property (Please Specify Place & Town)
 
Burial:
  
Which town/Cemetery/New grave or Re-open
  
Cremation
  
Mt Gambier/Ballarat/Other place
 
   

 

EXISTING GRAVE OR CREMATION DEEDS

 

Cemetery or Crem :
Grave or Crem deed No:
Name of deed holder:

 

 

PRE-PAID / BOND

If money has been paid towards your funeral please complete.
Funeral certificate No:
   
Document located at:
    
Amount paid:
Date Paid:

 

CONTACTS

 

Main contact person:
 
  Address:
  Phone:
  Mobile:
  Fax:
     
Second contact person:
 
  Address:
  Phone:
  Mobile:
  Fax:
     
Next of kin:
 
  Address:
  Phone:
     
  Mobile:
  Fax:
     
Executor(s):
  
  Address:
  Phone:
  Mobile:
  Fax:
     
Solicitor:
  
  Address:
  Phone:
     
     
Comments or additional information :
     
If F. Greed & Son have any questions in regards to the information above they can contact:
  Name:
  Phone:
  Mobile:
  Email: