ONLINE PREPLANNING FORM

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Online Preplanning Form

What type of service is desired?

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Information Needed for the Death Certificate

Deceased's Full Name

Gender

If Female, Deceased Maiden Name

Deceased's Current Address

City

County

State/Province

ZIP/Postcode

Deceased's Date of Birth

Deceased's Father's Name

Is the deceased's Father still living?

Deceased's Mother's Name

Is the deceased's Mother still living?

Deceased's Mother's Maiden Name

Deceased's Occupation

Deceased's Employer

Marital Status

If Married, Spouses Name

Is the spouse still living?

Deceased's Religion or Church Affiliation

How is the deceased's name written on their Social Security card?

Was the deceased ever in the military?

If yes, what branch of service?

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If you would like for the military to come and fold the flag & play taps at the service then the funeral home will need a copy of the deceased's dishcarge papers from the military also known as the DD-214.

Highest Level of Education

If the deceased did not graduate from high school then what grade in school did they complete?

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Information for the Obituary

Name of the college, year the deceased graduated and type of degree they received.

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The deceased's surviving children, brothers, sisters, grandchildren, great grandchildren along with their spouses and the city and state where they currently reside.

Surviving Children

Surviving Brothers

Surviving Sisters

Surviving Grandchildren

Surviving Great Grandchildren

List of children that preceded the deceased in death.

List of siblings that preceded the deceased in death.

Will flowers be accepted at the service?

Would the family like donations to be made to a church or charity?

If you chose a charity, please provide the name, mailing address and/or weblink for online donations.

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Information to Plan the Service

Who would the family like to speak or preach at the service?

List of family members who would like to give a eulogy.

Would the family prefer a graveside service, a chapel service, or church service?

What songs would the family like played during the service? Normally you do not want over 3 songs. 1 or 2 songs played during the service is average.

Name of the cemetery for the burial

Lot number or who will the deceased will be buried by.

List of Pallbearers 6 or 8

Honorary Pallbearers - You may want to list a group name.

There is a place in the service folder that the family may put a special poem, Bible chapter like Psalm 23, or lyrics of a song. What would your family like to use?

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When selecting clothing for a burial, long sleeves and conservative neck lines are best. When you go to the funeral home to make the funeral arrangements, you should take the clothing for the deceased including undergarments. You will also want to take a photo of the deceased that you would like used on the website and service folder. Pictures from cell phones can also be used.

Write a brief summary of the deceased's achievements, clubs and hobbies along with anything you would like included in the obituary.

ONLINE PREPLANNING FORM

Secure Online Preplanning Form

Online Preplanning Form

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