The Next Step

One of the most thoughtful things you can do for your family is to leave detailed funeral information of your wishes.

Making funeral arrangements at the time of loss is extremely difficult for those left behind. When arrangements, and sometimes even payment, have been completed in advance, your loved ones are not left with uncertainty and confusion at a time when they are least prepared to make qualified decisions.

Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

You may file vital statistic and preferred funeral information with us on-line by filling in the following information:

Personal Information

Name
(First MI Last):

Marital Status:

Social Security #:

Date of Birth:

Place Of Birth:

Address:

City:

State:

County:

Zip:

Phone:

E-mail:

Spouse's Name:

Spouse's Maiden Name:

Place of
Marriage:

Date of Marriage:

Father's Name:

Mother's Name:

Mother's Maiden Name:

Work/Education History

Education:

Occupation:

Business:

Company:

Military Record

Branch of Service:

Serial Number:

Date Enlisted:

Rank At Discharge:

Date Discharged:

Discharge On File At:

Copy of Discharge Papers: Yes No

Name Of Wars:

Person in Charge:

Address:

Phone:

Insurance Information:

Funeral Service Request

Place Of Service:

Funeral Home:

Address:

Phone:

Place of Visitation:

Religious Denomination:

Place Of Worship:

Lodge / Union:

Person in Charge
of Final Arrangements:

Special Instructions

Flower Preference:

Music

Casket Bearers (6):

Jewelry:

Glasses:

Clothing:

Other:

Disposition Request

I Prefer:

Cemetery:

Address:

Phone:

Section:

I have made a last will and testament: Yes No

Location: