George Scott and Son Family Funeral Directors

Pre-arranged funerals - George Scott and Son Funeral Wishes

This form has been designed to alleviate unnecessary stress to your family at the time of their bereavement. It is intended to complement our information on the funerals page which can assist you in making informed decisions. By filling out the following details, you will be providing guidance for your family so that they are able to reflect your personal funeral wishes. Here are a few of the benefits:

Saves your family having to search for your personal details that are required to arrange the funeral
Makes the funeral service personal to you and truly reflects your life.
Saves your family having to make many difficult decisions at what can be a very stressful time.
Provides clear guidance for your family with regards to your requests.
If you have no near relatives, it will provide a clear record of your wishes, so that we can provide the funeral service that you would like.
Saves you having to talk to family regarding your funeral, simply tell them where your written wishes are.
Peace of mind that you have left your house in order for your family.

"We are available to help. If you require any assistance completing these details please do not hesitate to contact Mr Neil A Scott of George Scott Funeral Services on 01202 395827 who will be very happy to help and advise you."

An alternative to completing the form below is to request us to send you our pack on pre-planning a funeral or cremation here.

My funeral wishes / requests
Would you like to be buried or cremated?	I would like to be buried	I would like to be cremated
Which Cemetery/Churchyard or Crematorium?	Enter place of ceremony here
Your Religion?	Enter religion
Do you have a minister/priest/other in mind to conduct the service? If you do, please provide their details here. Please include as much contact information as possible (name, address, telephone and email.)	Person you would like to conduct the service
If you do not, would you like the Funeral Director to arrange a suitable officiate to conduct the service?	Yes	No
If you like a service in a Church or other venue prior to the burial or cremation please provide details. If left blank, we will assume this will be where you would like to be buried/cremated.	Details of place of service if different
Would you like hymns to be sung?	Yes	No
If yes, please provide details of the hymns here:	Hymn (1) requested
	Hymn (2) requested
If you like any particular music played please provide details here:
Music on entry:	Music on entry
Time of Reflection Music requested: (instead of hymn).	Music on reflection
Music on Exit requested:	Music on exit
Would you prefer family flowers only?	Yes	No
Would you like friends and colleagues to send donations in lieu of funeral flowers?	Yes	No
If Yes: Donations to be payable to which Charity?	Charity name
Would you like an Obituary Notice placed in any newspaper(s)?	Yes	No
If Yes: Which newspaper(s)?	Newspapers
If you wish to be cremated, would you like your ashes to be buried or scattered?	Buried	Scattered
Where would you like this to take place?	Location

Information Required For A Full Burial Or A Burial Of Ashes

Is the grave for the burial going to be: new / pre-purchased / existing?	New Pre-purchased Existing
If a pre-purchased or existing grave: what is the plot number?	Plot Number
If you have an existing grave to be re-opened for the burial please give details of family already interred:	Details
1st Burial:
- Name of Burial	Name
- Date of Burial	Date

2nd Burial:
- Name of Burial		Name
- Date of Burial		Date

3rd Burial
- Name of Burial		Name
- Date of Burial		Date

Full name and address of grave owner	Name and address of grave owner
Is there a memorial on the grave?	Yes	No
If Yes: Which Stonemason do you require to remove the memorial for the interment?	Details of stonemason
Use a George Scott Memorials/other stonemason?	Yes	No
Description of memorial on the grave	Description of memorial

My personal details

Full name	Enter full name
Title	Enter your title (eg. Mr, Mrs)
Address	Address details
Postcode	Enter postcode
Home telephone number	Land line
Mobile phone number	Mobile number
email address	Email address
Main occupation or occupation prior to retirement?	Occupation
Date of birth	Your date of birth
Town of birth	Town
Marital status? (such as married, divorced, single, widow(ed))	Enter marital status

Doctor's name	Name
Telephone number	Tel number
Surgery name and address	Surgery Address

Information required by the Registrars Authority at the time of need. (if applicable).
Maiden name	Maiden name here
Spouse / late spouse full name	Full name of spouse
Spouse / late spouse occupation	Occupation
Spouse / late spouse date of birth	Spouse date of birth

My next of kin details

My nearest relative's full name	Name
Their title	Enter your title (eg. Mr, Mrs)
Address	Next of kin address
Postcode	Postcode
Home telephone number	Land line
Mobile phone number	Mobile number
email address	Email address
Their main occupation?	Occupation

My second nearest relative's full name	Name
Their title	Enter your title (eg. Mr, Mrs)
Address	Next of kin address
Postcode	Postcode
Home telephone number	Land line
Mobile phone number	Mobile number
email address	Email address
Their main occupation?	Occupation

Pre-payment funeral plan

If you have a pre-payment funeral payment plan:

Name of funeral company	Company Name
Address	Funeral company address
Postcode	Postcode
Telephone number	Telephone

We can also arrange pre-payment funerals, if this is of interest to you please contact Mr Neil A Scott of George Scott Funeral Services on 01202 395827 or alternatively use the contact form on the website.

What we will provide for you

We will register your requests at our Funeral Home and keep them on file, and supply 4 copies For you to: • Lodge with your Solicitor • Place at home with a copy of your will. • Give to close relatives • Give to your executor.

At the time of need...

Rest assured that once informed of your passing, we will help, guide and assist your family and executors to put your funeral wishes into action.

What to do now

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