Funeral Planning Guide

Funeral Planning Guide

Step 1 of 4

Vital Statistics Record
Name*
Prefix First Middle Last Suffix
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Birthdate*
Date Format: MM slash DD slash YYYY
Birthplace*
Father's Name*
Mother's Maiden Name*
Marital Status*
Marriage Details
Married To
Date
Place
Death Date
Previous Marriage
Married To
Date
Place
Death Date

Personal History
Occupation
Employer
Position Held
How Long
Retired
- Yes
- No
Year
Resident Cities, Year
Education
Lodges, Memberships, Church & Public Office Held
Military
War
Branch
Rate or Rank at Discharge
Enlistment Date and Place
Discharge Date and Place
Service Number
County Recorded
Photograph
Photograph for obituary
- Yes
- No
Upload photograph

Immediate Family
Relationship, Name, City & State
Preceded by
Local emergency contacts to be notified at need
Emergency Contact Name
First Last
Emergency Contact Address
Street Address City State ZIP Code
Emergency Contact Phone
Additional Emergency Contact Name
First Last
Additional Emergency Contact Address
Street Address City State ZIP Code
Additional Emergency Contact Phone

I lost my parents withing two years of each other and Mike and his staff not only took very good care of my parents but the family. It is very obvious that they take their jobs very seriously. I don\’t know how they do it but thank God for people like them. Thanks for everything! Mike thank you! You made this easier for me. Remember me and mother was like a married couple!

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Valisa Coleman