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Use the form below to start completing necessary paperwork online. You do not have to complete all of it.

At a minimum, please provide your name and telephone number or email address.

Advance Funeral Planning Form

Step 1
Personal Information
Step 2
Family Information
Step 3
Work/Education History
Step 4
Military Record
Step 5
Funeral Service Request
Step 6
Disposition Request
Step 7
Summary Details

First Name*

Last Name*

Phone*

Email*

Street

City

State/Province

ZIP/Postcode

* indicates a required field

Date of Birth

Place of Birth

Father's Name

Father's Place of Birth

Mother's Name

Mother's Maiden Name

Marital Status

Mother's Place of Birth

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Additional Family MembersPlease use the area above to enter the names of siblings, children and grandchildren.

Occupation

Company Name

Business Field

Did you serve in the military?

YesNo

Branch of Service

Serial Number

Date Entered Service

Rank at Discharge

Date Discharged

Discharge on file at

Do you have a copy of your discharge papers?

YesNo

Wars Fought In

Person in Charge

Address

Telephone

Place of Service

Telephone

Place of Visitation

Religious Denomination

Place of Worship

Lodge/Union/Assoc. Membership

Person in charge of final arrangements

I Prefer

Cemetery

Lot #(if applicable)

Section/Letter(if applicable)

Grave #(if applicable)

Address

Telephone

I have made a last will and testament

YesNo

Location of Will

Label

Additional instructions for us

Memorial requests or donations to charity

Thank you for the information. How can we best serve you next?

Review pricing and finalize my plans with an advance planning specialist

Keep this information on file until I’m ready to finalize my plans

Anti-Spam Security Question

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1-505-275-7200

1-505-275-7200

1-505-275-7200

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Personal Information

Work/Education History

Military Record

Funeral Service Request

Disposition Request

Summary Details