Pre planning

Families are often astounded at the amount of information required and organization required at the time of a death. Whilst some may consider it morbid, pre-planning your final wishes can take the organizational headaches away from the loved ones you leave behind, and ensure you get the send off you would want.

Complete the form below or Download the PDF file, complete and send it to us.

Sometimes families may not want to supply some information, or cannot understand the relevance of the question. You can record a “not known” if you are not in possession of family records, but often, there is someone in the family who can supply the missing details. This may not be important to the current generation, but, the next generation may want this data at a later stage. Once the link is broken, it makes it considerably more difficult for anyone involved in genealogy to fill in the missing gaps.

Find out more about Prepaid Funerals and Funeral Insurance.

Your contact details (as next of kin)

*Required
 Name*  
Daytime Phone Number*  
Mobile Phone Number*  
Email Address*  

 

Personal information relating to the deceased

This information is required to obtain a death certificate

*Required
Date of Birth 
Place of Birth*  
Address*  
   
   
   
City*  
Occupation*  
Ethnic Group*  
NZ Maori Descent* Yes No  

Living Children

*Required
Birthdates(s) of Daughter(s)
Birthdates(s) of Sons(s)

Parents

*Required
Mothers Full Name*
Mothers Full Name at Birth*
Mothers Occupation*
Fathers Full Name*
Fathers Occupation*

Relationship Status

*Required
Status at time of death* Married
In a Civil Union
Marriage/Civil Union Dissolved
Marriage/Civil Union Permanently Separated
In a de facto relationship
Separated from de facto partner
Never in a legal relationship

 
Spouse/Partner Full Name*  
Spouse/Partner Maiden Name*  
Your age at Marriage/Union*  
Place of Marriage/Union*  
Spouse's Birthday  
Sex of Spouse/Partner* Male Female  

If in a previous relationship please fill in the details in the fields below
Spouse/Partner Full Name*  
Spouse/Partner Maiden Name*  
Your age at Marriage/Union*  
Place of Marriage/Union*  
Spouse's Birthday  
Sex of Spouse/Partner* Male Female  

If there were earlier Marriages/Unions please note the details below

Funeral Preferences

*Required
Place of Service*
Manning Funerals Chapel, Church,
Crematorium, Other
Religion   
Officiant*
  
Music to be played*  
Music to be sung*  
Is an Organist required* Yes No  
Favourite Bible Readings  
Favourite Literature or Poems  
Favourite Flowers  
Favourite flower colour*  
Final Placement* Cremation Burial  
Preferred Crematorium*  
Placement of Ashes*  
Preferred Cemetary*  
Plot Owned* Yes No  
Plot Cemetary Reference*  

 

Further Comments

If you wish to record other requirements that are not explicitly catered for above, please enter these below

Pre-arrangement follow up

Would you like Mannings Funerals to contact you regarding your pre-arrangement?		  
Follow up this submission? Yes No  

Privacy

  
Manning Funerals respects your privacy; your information is confidential
and will not be shared with third-parties