8. 20-gauge bronze-colored steel with blue crepe interior 9. Solid bronze (16-gauge) with brushed-finish white ivory velvet interior 10. Solid copper (32 oz.) with sealer (oval glass) and medium bronze finish with rosetan velvet interior
4. Solid white pine with eggshell crepe interior 5. Solid mahogany with tufted rosetan velvet interior 6. Hand-finished solid cherry with ivory velvet interior 7. 18-gauge rose-colored steel with pleated maroon crepe interior (available in a variety of interiors)
$_________
$_________
$_________
$_________
$_________
$_________
$_________
Sample 3: Outer Burial Container Price List ABC FUNERAL HOME CASKET PRICE LIST These prices are effective as of ___________ [date]. In most areas of the country,* state or local law does not require that you buy a container to surround the casket in the grave. However, many cemeteries require that you have such a container so that the grave will not sink in. Either a grave liner or a burial vault will satisfy these requirements.
1. Concrete Grave Liner
$_________ $_________ $_________ $_________
2. Acme Reinforced Concrete Vault (lined) 3. Acme Reinforced Concrete Vault (stainless steel lined)
4. Acme Solid Copper Vault 5. Acme Steel Vault (12-gauge)
$_________ *Delete “In most areas of the country” if state law does not require a grave liner or vault.
Sample 4: Statement of Funeral Goods and Services Selected ABC FUNERAL HOME STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items, we will explain the reasons in writing below. Deceased: ______________________________________________ Purchaser: ______________________________________________ Address: _______________________________________________ ________________________________________________________
Immediate Burial
$_________
CASH ADVANCE ITEMS We charge you for our services in obtaining: [specify relevant cash advance items]. Cemetery charges $_________ Crematory charges $_________ Flowers $_________ Obituary notice $_________ Death certificate $_________ Music $_________ Total Cash Advance Items $_________
Tel. No.: __________________________________ Date of Death: ______________________________
TOTAL COST OF ARRANGEMENTS (including all services, merchandise, and cash advance items)
Date of Arrangements: ____________________________________ _________________________________________________________ Basic Services of Funeral Director and Staff and Overhead $_________ Embalming $_________ If you selected a funeral that may require embalming, such as a funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve if you selected arrangements such as a direct cremation or immediate burial. If we charged for embalming, we will explain why below. Other Preparation of the Body Cosmetic Work for Viewing $_________ Washing and Disinfecting Unembalmed Remains $_________ Transfer of Remains to the Funeral Home $_________ Use of Facilities and Staff for Viewing $_________ Use of Facilities and Staff for Funeral Ceremony $_________ Use of Facilities and Staff for Memorial Service $_________ Use of Equipment and Staff for Graveside Service $_________ Hearse $_________ Limousine $_________ Casket $_________ Outer Burial Container $_________ Forwarding of Remains to Another Funeral Home $_________ Receiving Remains from Another Funeral Home $_________ Direct Cremation $_________
$_________
If any legal, cemetery, or crematory requirement has required the purchase of any of the items listed above, we will explain the requirement below: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Reason for Embalming: _______________________________________________________ _______________________________________________________ Note : Before the 1994 revision, the Rule also required the following disclosure on the GPL: This list does not include prices for certain items that you may ask us to buy for you, such as cemetery or crematory services, flowers, and newspaper notices. The prices for those items will be shown on your bill or statement describing the funeral goods and services selected. [And if appropriate] We charge you for our services in buying these items. The Rule no longer requires this disclosure on the GPL. Instead, you must place a shorter version of the disclosure on the Statement of Goods and Services Selected. However, you may continue to place this disclosure on your GPL, if you wish.
Page 80
Book Code: FTX1624
EliteLearning.com/Funeral
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