Funeral Benefit application form

1. Complete this form to apply for funeral benefit to help with the cost of funeral arrangements.
  
  For more information see funeral financial support.
  
  This form is 2 pages long and should take approximately 5 minutes to complete.
2. Your details
  1. Name
  2. Address line 1
  3. Address line 2 (optional)
  4. Town/city
  5. Postcode
  6. Telephone number (optional)
  7. Email address
3. Deceased person details
  1. Full name
  2. Address line 1
  3. Address line 2 (optional)
  4. Town/city
  5. Postcode
  7. Has the deceased person been a resident of Preston for a year or more?
    
    Yes
    
    No
  9. What is your relationship to the deceased person?
    
    Partner
    
    Parent
    
    Child
    
    Other
  10. If other please state (optional)
Preston City Council will use your information in a manner compatible with the General Data Protection Regulation (GDPR).

Any disclosures or sharing of information will only take place where required or permitted by law. For further information please see our privacy notice .

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