Advanced Funeral Planning Form

When it comes to your final arrangements, shouldn’t you make the decisions? The arrangements you make will reflect your exact wishes and desires. Pre-arranging your own service will help to ease the burden of your loved ones. It will also alleviate any questions, problems, or differences which can occur among family members. Pre-payment will protect you from the rising cost of prices, which will eliminate the financial burden being placed on your loved ones. When you plan ahead you know that your wishes will be fulfilled.

By pre-planning today, you will:

  • Ease your family’s emotional stress at a difficult time
  • Help your loved ones avoid difficult decision-making at the time of death
  • Ensure that your wishes will be followed
  • Save money, if you choose to pay for your services ahead of time

Arrangements may be made in the comfort of your own home by completing the following form. Fill in as much as you are comfortable with, and we will be pleased to meet with you to discuss your arrangements further.

Personal Information

Education, Work, Associations


If yes, a copy of your discharge papers (also known as form DD214) is needed to file for benefits.

Funeral Services

Disposition Services

Additional Details

Next Steps