SA Transfer details

1

Deceased Name* This field is required.

First Name

Last Name

2

Transfer Company* This field is required.

3

Brand* This field is required.

4

Did you collect a Medical Cause of Death Certificate with the deceased?* This field is required.

YESNO

5

Is ID Complete?* This field is required.

YESNO

6

Did the deceased have any personal belongings?* This field is required.

YESNO

7

Please select the items in possession

Jewellery

Keepsakes

Clothing items

Other

8

Please provide description of itemsFor example 2 x rings, 1x necklace

9

Is an oversized coffin required?* This field is required.

YESNO

10

Your Name* This field is required.