Prearrangement

The term “prearrangement” is used to describe the process that allows a person to plan their service before they actually need it. There are benefits to making these plans ahead of time.

Prearranging allows you to:

  • Make your wishes known
  • Learn more about your options without cost or obligation
  • Give yourself and your loved ones peace of mind
  • Prevent emotional overspending that can occur after the death of a loved one
  • Give your family more time to spend together and less time on paperwork
  • Ensure your wishes are followed

Because prearranging is a personal and important process, we prefer all arrangements be made in person. We can set up an appointment at your convenience either at the funeral home or in your own home. If this is not possible, other arrangements can be made.

Your Full Name:


Your Email Address:


Your Maiden Name:


Street/Mailing Address:


City:


State:


Date of Birth:


Place of Birth:


Social Security Number:


Spouse's Name:


Spouse Survived?
Yes     No

Marital Status:


Date of Marriage:


Place of Marriage:


Names of Previous Spouses:


Names of Parents:


Address of Parents (if still living):


Names of Children:


Addresses and Phone numbers of Children:


Names of Brothers and Sisters:


Addresses and Phone numbers of Brothers and Sisters:


Names of other friends and relatives who should be notified:


Addresses and Phone numbers of other friends and relatives:


Occupation:


Names of present and previous employers:


Addresses and Phone numbers of present and previous employers:


  
If you are a veteran
Date of enlistment:


Place of enlistment:


Date of discharge:


Place of discharge:


Rank:


Service Numbers:


Organization or outfit:


Commendations received:


Location of discharge papers:


Flag desired to drape casket:



Religious affiliation:


Professional and fraternal organization memberships:


Education (list schools attended and dates of any degrees or honors received):


Names of newspapers for obituary:


Organ Donation (list of authorized card and anyone who should be notified):


Funeral director or funeral home you prefer:


Clergyperson or anyone else you would like to officiate:


Funeral Service Location:


Visitation instructions:


Music, hymns or readings you would prefer during your service:


Memorial Donations you would like in your memory:


Names and Addresses and Phone Numbers of casket bearers:


Cemetery Name:


Address and location of cemetery property (include lot and grave number):


Casket and/or vault preference:


If you wish to be cremated, include disposition preference:


Location of will:


The name of the executor of your estate:


Address and phone number of the executor of your estate:


Location of safety deposit box and key:


Attorney's name:


Attorney's address and phone number:


Location of checking accounts, checkbooks, savings accounts and passbooks:


Credit cards and charge accounts to be canceled.
(For security purposes do not list Credit Card Numbers here, just the names of cards.)


Insurance company name and policy numbers:


Location of insurance policies:


Any additional instructions: