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Funeral ministry
Please use this form to provide details once agreed with the Vicar.
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* Indicates required question
Full name of deceased
*
Your answer
Date of death
*
MM
/
DD
/
YYYY
Place of death
*
Your answer
Usual address
*
Your answer
Date of birth (e.g. 6nov42) (or age, if unknown)
Your answer
Next of kin (name and relationship)
*
Your answer
NoK address
*
Your answer
NoK contact details (phone)
Your answer
Funeral date
*
MM
/
DD
/
YYYY
Service & interment
*
Fremington
Instow
Westleigh
NDC
N/A
Service
Burial/Crem
Ashes
Fremington
Instow
Westleigh
NDC
N/A
Service
Burial/Crem
Ashes
Comment
Your answer
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