Online Funeral Planning Form

Welcome to Our Online Planning Service

This form can be used to arrange a funeral now or to plan ahead for the future.

You can complete as much or as little as you feel comfortable with. Our team will guide you through any remaining details.

All information provided is treated with care and remains strictly confidential.

For assistance at any time, please call (08) 8241 5151

Applicant Details

Full Name*

Address*

Contact Number

Email Address*

Relationship to the person this plan is for*

Person the Plan is For

Full Name*

Address*

Contact Number (if applicable)

Date of Birth*

Place of Birth

If Not Born in Australia

Personal & Family Information

Required for Official Documentation*

Occupation During Working Life*

Marriage Details (if applicable)

Marital Status

Full Name(s) Prior to Marriage

Date of Marriage

Children

Given Name(s)

Sex

Date(s) of Birth

Father’s Details

Given Name(s)

Surname

Occupation

Mother’s Details

Given Name(s)

Maiden Name

Occupation

Funeral Preferences

(You can complete as much or as little as you wish. We will guide your family if needed.)

Service Type*

Service Location Preference

Service Type

Viewing / Visitation

Coffin / Casket Selection

Preferences (if any)

Flowers

Preferences

Music & Audio

Photo & Visual Presentation

Printed Materials

Preferences

Burial or Ashes Arrangements

If Burial

If Cremation

Urn or keepsake Preference

Notices & Announcements

Wording Preferences or Requests

Special Requests

Cultural or Religious Requirements

Personal Touches or Themes

Dress Preferences

Charity Donations in Lieu of Flowers

Any Other Instructions or Wishes

Additional Information

Anything Else We Should Know

Speak With Our Team

If you would prefer to talk through your arrangements, we are available 24/7.