Pre-Planning

What is pre-planning? It is making the decisions about your funeral or final disposition before the need arises. By pre-planning your funeral, you eliminate burdensome decision making when your family is least prepared to make those decisions. The funeral preparations, if not arranged in advanced, must be dealt with at the time of death. Many times, emotions are charged and the family is physically exhausted.

Pre-planning funerals has become more common today, either for yourself or a family member. By pre-planning you remove a tremendous burden from your loved ones and give yourself the confidence of knowing that your personal wishes will be carried out. It is much easier for family members when important decisions have been made in advance. Pre-planning allows you to prepare for the future with a sense of security.

Another benefit of pre-funding your funeral expenses is the exclusion of these monies from your assets when applying for Medicaid coverage. A financial benefit is that the funeral costs are "locked in" at today's prices if paid in advance.

If you would like to begin your funeral pre-planning, please give us a call and we can make an appointment to sit down and discuss your wishes in the privacy of your home or at our funeral home. Please use the form below to help us better understand your wishes.

Personal Information

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( Last):



Date of Birth: Place Of Birth:
Address:
City: State:
County: Zip:
Phone: E-mail:
Marital Status:
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/Civic Organizations:
Person in Charge
of Final Arrangements:
Special Instructions
Flower Preference:
Music
Pallbearers (6):
Jewelery:
Glasses:
Clothing:
Other:
Disposition Request
I Prefer:
Cemetery:
Address: Phone:
Section:
I have made a last will and testament:     Yes     No
Location:
Other Instructions
Memorials/Donations To Charity

Please select one of the options below
Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file