PCB Solicitors
Helpful Information for my Executor
Name:
Marital status:
Maiden name (where
applicable) :
Date and place of birth:
Occupation:
Name and occupation of
any spouse :
National insurance
Number:
NHS Number:
Would prefer a humanist/non-religious service
Don’t mind
Views on religion
(please circle)
Would prefer a religious service
Details:
Would prefer to be cremated
Views on cremation:
(please circle)
Don’t mind
Would prefer not to be cremated
Would prefer to be buried
Views on burial:
(please circle)
Don’t mind
Would prefer not to be buried
I hold a Grant of
Exclusive Rights of
Burial issued by.
…………………………………………………………………………..Council.
In respect of Grave No
………………………………………………
Section
Burial ground/cemetery
YES/NO
I wish to be buried in the
above grave
……………………………………………….
The above grave grant
should pass to
……………………………………………………………………………………….
On my death
Preferred
undertaker/Funeral plan
Hymns/ Music that I
would like at my funeral:
Wedding ring left on?
Would you prefer
Flowers/Donations
(If so who do you wish
any donations to go to?)
Place where I would like
to be buried/for my
ashes to buried/for my
ashes to be scattered:
My Deeds/Will are
stored:
Accountant details:
Insurance broker:
Current Account details:
Lasting Power of
Attorney
(or Enduring Power of
Attorney)
(It is helpful for a copy of your birth certificate and any marriage/civil partnership certificate or divorce papers
to be logged with this form. You may also like to leave details of any spouse who has predeceased you)