Client Profile Register

For peace of mind we have developed our own version of a personal profile record that you can fill out and we will hold on record on your behalf.

The personal client profile records all information required for registering a death. This is also an opportunity to record any personal funeral wishes you may have.

Information required for registration of death


NZ Maori NZ European/Pakeha Other(Specify Below)
RSA Service/Force
Cremation Burial

Married
In a Civil Union
In a De Facto Relationship
Spouse/Partner Deceased
Separated from De Facto partner
Marriage/Civil Union Dissolved
Never in Legal Relationship
Marriage/Civil Union Permanently Separated


Male    Female


Male    Female