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Country Road Transfers
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6
Questions
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1
Deceased Name
*
This field is required.
First Name
Last Name
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2
Did you collect a Medical Cause of Death Certificate with the deceased?
*
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YES
NO
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3
Is ID Complete?
*
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YES
NO
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4
Did the deceased have any personal belongings?
*
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YES
NO
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5
Please select the items in possession
Jewellery
Keepsakes
Clothing items
Other
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6
Please provide description of items
For example 2 x rings, 1x necklace
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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7
Is an oversized coffin required?
*
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YES
NO
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8
Your Name
*
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