Funeral director notification of appointment form

Complete this form to notify us that you have been appointed to carry out the funeral arrangements for someone who has recently died.

Coroners crest

About the deceased

Name

Date of birth (DD/MM/YYYY)

Date of death (DD/MM/YYYY)

Date of funeral (DD/MM/YYYY) (if known)

Name of funeral director

Address of funeral director

Telephone number

Email address

Date of instruction (DD/MM/YYYY)

Name of the person who has appointed the funeral director

Please provide any additional relevant information or special instructions:

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