The order form includes the agreement and signature of the person who placed the order. It contains, in addition to the information mentioned in article R. 2223-26, the following entries:
- surname and first name of the deceased;
- date of birth of the deceased;
- date of death;
- date and time of committal;
- date and time of the funeral service;
- date and time of burial or cremation ;
- surname and first name of the person who placed the order;
- address of the person who placed the order;
- relationship to the deceased of the person who placed the order;
- amount of the total sum, including all taxes.

