Heritage Brothers Funeral Services, Gold Coast and New South Wales

Phone (07) 5535 8758

'My Life, My Funeral' -
Your complimentary personal funeral planner

'My Life, My Funeral' is Heritage Brothers' complimentary personal funeral planner and information resource.

Available to complete online, as a PDF download or as a booklet by request, it is a convenient way to record your personal details and funeral wishes. It's a way of pre-planning or pre-arranging the kind of funeral you want.

It is a responsible way to provide peace of mind for both you and your family. The family is saved the stress of assuming your final wishes and can be comforted in the knowledge they are following your special requests.

Use of Heritage Brothers' 'My Life, My Funeral' planner is obligation free and you can also meet with a Funeral Director in our office or your home at no charge. Heritage Brothers staff are always available to discuss your personal needs.

'My Life, My Funeral' Online Planner

When you complete the online version of 'My Life, My Funeral', the information is emailed directly to Heritage Brothers Funeral Services where it is held securely and in confidence until needed. You can read our privacy policy statement by clicking here.

You can include as much or as little information on the form as you wish, although providing as much as possible increases the value of the information to your family in arranging your funeral. Some information is required and the planner will not send unless these sections are completed. These include your name and some contact details. For obvious reasons, we must have this information to retrieve your completed planner at the appropriate time.

Your Name:

Email Address:

My Funeral Wishes

Company:

Heritage Brothers Burleigh Heads	Heritage Brothers Tweed Heads
Heritage Brothers Chinderah	Easton Funeral Services
Coolangatta-Tweed Heads Funeral Services
Kingscliff Funeral Services	Murwillumbah Funerals

Funeral Venue

Burial or Cremation

Burial

Cremation

Existing Grave Details or Cremation Deeds

Celebrant or Clergy

Celebrant

Clergy

Special Music

Favourite Flowers

Special Readings

RSL Involvement

Groups that should be contacted

Newspaper Notices

Gold Coast Bulletin	Tweed Daily News	Brisbane Courier Mail
Sydney Morning Herald	Melbourne Herald Sun	Sydney Daily Telegraph

Video of Funeral

Yes

Audio Recording

Yes

DVD Presentation

Yes

Notes:

Personal Profile Record

Family Name:

Given Names:

Gender:

Male

Female

Place of Birth:

Date of Birth:

Religion (if applicable):

Date you arrived in Australia
(if applicable):

Usual Address:

Usual Doctor:

Occupation(s) in working life:

Pension Type (if applicable):

Pension Number:

Are you of Aboriginal or Torres Strait Island Origin?

Yes

Notes:

Parents' Details

Father’s Full Name:

Father’s Occupation:

Mother’s Full Name:

Mother’s Maiden Name:

Mother’s Occupation:

Marriage Details

Marital Status:

Married	Divorced	Defacto
Never Married	Separated	Widow/Widower

If widowed, date and place
of death of spouse:

First Marriage

Place of Marriage:

Date of Marriage:

Name of Spouse:

Second Marriage

Place of Marriage:

Date of Marriage:

Name of Spouse:

Children

Name:	Gender:	Date of Birth:
	Male Female
	Male Female
	Male Female
	Male Female
	Male Female
	Male Female

Further Details

Location of Will

My Solicitor

My Executor

Special Notes

By clicking on 'Send', you are sending these details to Heritage Brothers Funeral Services where they will be held securely on file. You should also ensure that family members know that you have lodged this information with us.

By clicking on 'Reset Form' you will clear all the information
you have written into this form and it will not be sent or saved

Download and Print 'My Life, My Funeral'

You can download a free copy of the Heritage Brothers Funeral Services funeral planner, 'My Life, My Funeral', right now and ensure your loved ones know your wishes. It takes just five easy steps:

Download 'My Life, My Funeral' by clicking here
Print out and fill in the planner.
Photocopy the completed document (if you don't have access to a copier, you could print and complete two).
Put your original away safely with your other important documents and ensure your family knows where to find it.
Post the copy to Heritage Brothers and we will have it safely on file in the event that your family calls.

Receive A Printed Booklet of 'My Life, My Funeral'

To receive a printed copy of 'My Life, My Funeral', contact us.