Deborah Mitchell Independent Funeral Services
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My Funeral Wishes

Please complete the form below to record your funeral wishes. In the event of your death, you request that these wishes are carried out as detailed. Answer as much or as little as you like.

01Your Details

02Next of Kin

03What Kind of Funeral Would You Prefer?

Please choose any that apply

04If You Wish to Have a Burial

Do you need to purchase a burial site?
Would you like a church service held before interment (burial)?
Would you like a graveside service?

05If You Would Prefer Cremation

Do you have a chosen crematorium?
What kind of service would you like?Mixed includes some religious content, for example the Lord's Prayer, within a non religious service.

06Your Choice of Music

Any other music choices?

07Coffin

08Viewing and Preparation

Would you want your family and friends to view you following your passing?
Would you wish to be embalmed?
Do you wish to be dressed in any particular clothing?
Do you wish to have makeup applied?
Would you like family bearers?

09Flowers and Donations

Would you like flowers at your funeral?
Would you prefer family flowers only?
If you don't wish to have flowers (or family flowers only), would you like donations made to a chosen charity?

10Tribute and Service Details

Are you happy to have an online tribute made on our Facebook page and website?Mourners can leave a tribute, light a virtual candle, and plant a tree in your memory.
Would you like mourners to wear black for your service?
Would you like an order of service?
Do you have a choice of photograph to be used?
Do you want an enlarged photograph displayed at the crematorium?
Would you like the photograph(s) held on file?

11Ashes

Do you wish to have your ashes scattered at a place of your choice?
Alternatively, do you wish to have your ashes interred (buried at your chosen burial site)?

12Personal Messages and Additional Requests

Would you like any personal letters, audio or video messages held on your behalf for family or friends until the event of your death?If yes, please send these to us separately, alongside your completed questionnaire.

13Funeral Director

Do you have a chosen funeral director?
Would you like Deborah Mitchell to act on your behalf?

14Planning Ahead

Have you thought about planning ahead, in case you could be incapacitated through accident or illness, or in the event of your death? Would you like further information about any of the following?

15Your Consent

I hereby give consent for Deborah Mitchell Independent Funeral Services Ltd to keep my funeral wishes and any personal letters, audio or video messages on file until the event of my death. In the event of my death, it is my wish that the above arrangements are carried out.

By submitting this form, your typed name above acts as your signature. It is your responsibility to keep this information up to date. If you need any changes, please contact Deborah Mitchell Independent Funeral Services Ltd.

Need help? 0191 722 1263

Your details are used only to record your funeral wishes. See our Privacy Policy.