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At Need

Personalizing Services

Genealogy Information

Florist

Required Forms

At-Need Form

 
Introduction

Funerals are a place for loved ones and friends to gather in support and celebration; a time to remember and rejoice in a life that will continue to touch and shape their own.

This booklet is designed to help you pre-plan your funeral service as a fitting tribute to your life.

Information you provide will leave no questions about your wishes and give your loved ones peace of mind in knowing that those wishes are carried out.

When this booklet has been completed, please bring or send it to the funeral home from which it was obtained

It is important that your loved ones know that this booklet is on file at the funeral home.

It is best not to store important documents in a safety deposit box. In some states, safety deposit boxes cannot be opened for days or even weeks after a person’s death.

Full Name:
Address:
City, State & Zip:
Phone:
E-mail:
Full Legal Name:
Name preference for newspaper:
Street Address:
City, State & Zip:
Social Security:
Date of Birth:  (ex.1999)
Place of birth:
Maiden name:
Marital status:
Sex:
Race:
Resided in present county since:
Moved here from:
Occupation:
Employer:
Years employed:
Education (list school, colleges,etc.):
Achievements (personal and professional):


Name of spouse:
Spouse's maiden name
(if female):
If spouse is deceased,give date of death:
Date of marriage:
Place of marriage:
Father's Full name:
His place of birth:
Mother's Full name:
Her place of birth:
Branch of service:
Rank:
Dates of service:
Name of any war:
Place and date discharged:
Flag and military grave markers are available for those who qualify.
Copy of deceased’s military discharge papers (DD214) must be
provided for completion of order for flag and/or marker
Civic groups:
Clubs:
Professional organizations:
Fraternal organizations:
Community/Public service:
Volunteer work:
Hobbies:
Funeral home:
Type of service:
To be held at:
Religious affiliation:
Clergyman or lay person:
Special requests:
Preferred casket:
Preferred vault:
Clothing and jewelry instuctions:
Viewing:
Flowers:
Music selection:
Organist:
Vocalist:
Memorial contributions:

Please provide a photo for the obituary and memorial folders
This photo can be stored digitally.
Name:
Phone number:
Name:
Phone number:
Name:
Phone number:
Name:
Phone number:
Name:
Phone number:
Name:
Phone number:
Name:
Phone number:
Name:
Phone number:
Name of cemetery:
Address of cemetery:
Proprety owned?:
Number of spaces:
Location of lots:
Marker requirements:
Type of monument:

Upright Monument Bronze Monument

Lawn (flush)         Flower vase

Granite                Other
Specifications:
Inscription:
Newspapers for obituary:
At the funeral service, the eulogy gives your family the opportunity to reflect on your lift. This can also be a time for you to say goodbye to them, so use this space to share a few thoughts and feelings about your life. Also, write down your favorite flower, color, poem, etc., so your family can surround themselves with things that bring fond memories of who you were.
Some of my favorite things:
Poem or scripture:
Song or music:
Flower:
Color:
Places:
Quote:
Pets:
Hobbies:
One of my fondest memories:
I want to be remembered for:
Surviving Relatives
Please Include Full Name and Address
Husband/Wife:
Sons:
Daughters:
Grandchildren:
Great Grandchildren:
Father:
Mother:
Brothers:
Sisters:
Preceded in death by:
Company:
Date of Policy:
Location of Policy:
Beneficiary:
Miscellaneous:


 


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