On-line Pre-Arrangement Form

Each death in New Zealand must be registered with the Central Registry Office within three working days of the burial or cremation. The first part of this form lists the information we require to be able to register that death in New Zealand, it is also the information that will appear on the Death Certificate. The second part of this form lists individual wishes for the funeral service.

- Please fill out a new form per individual.

- We will store a copy of the below information on file with us and email you a copy if you require one.

If you would like any assistance please don't hesitate to contact us.

My Contact Details
Do You Require A Copy Of This Form For Your Records?
My Information
My Name *
My Name
My Sex
My Children's Information
My Parent's Information
My Marriage Details
My Legal Marital Status
My Military Service Details
I Was An Ex Service Man/Woman
Force
I Am A Justice Of The Peace
I Am A Holder Of An Honour Or Award
My Funeral Service Instructions
I Wish To Allow Viewing Prior To My Service
RSA Members.. I Wish To Have The RSA Participation At My Service
Masonic Lodge.. I Wish To Have Lodge Participation At My Service
Public Or Private Service
I Would Like A Video Of My Service
I Would Like My Service Live Streamed/Webcast On The Internet