Funeral Planning Bermuda - Augustus Funeral Home

Instagram

This field is for validation purposes and should be left unchanged.

Full Name of the Deceased

First Middle Last

Date of Birth

Place of Birth

Address

Postal Code

Family information

Marital Status

Married

Single

Widowed

Name of Spouse

Maiden Name of Spouse

If deceased, date of death

Father's Name

Parish/City

State

Postal Code

Mother's Name

Mother's Maiden Name

City

State

Zip/Postal Code

Siblings (Living)

Siblings (Deceased)

Children (Living)

Children (Deceased)

Grandchildren (Living)

Great Grandchildren (Living)

Education & Work

Occupation

Military Service

Yes

No

Funeral Service Options

Funeral service at funeral home.

Funeral service at

I do not wish to have a funeral service.

Funeral service at

Visitation Options

Visitation at funeral home.

Visitation at

I do not wish to have a Visitation.

Visitation at

Would you prefer burial or cremation?

Burial

Cremation

Final Disposition

Ground Interment (burial)

Ashes Buried in a Grave

Ashes Returned to Family

Would you prefer to include a graveside/committal service?

Yes

No

Service Requests

Please list any musical selections you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any interests or hobbies you would like to include into your services.

Please list any special themes you would like to include into your services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

A Clear Photograph of Your Loved One

Max. file size: 1 GB.

Copy of the Deceased's Birth Certificate

Max. file size: 1 GB.

Person Submitting (Your Details)

Name*

First Last

Email*

Cell Phone*

Home Phone

Work or Other Phone

Best time to call

:

What to do when a loved one dies