Arrangement Form

In order for us to proceed with the funeral arrangement, permit and Death Certificate processes we need you to send back the answers to the questions below as soon as possible.

Funeral Arrangement Form

Phone

Decedent's Full Name

Maiden Name

Social Security Number

Place of Death

Date of Death

Place of Birth

Date of Birth

Home Address

Marital Status

Name of Spouse

Ethnicity & Nationality

Highest Level of Education

Occupation

Father's Name

Mother’s Name

Person taking responsibility for making funeral arrangements

Relationship of Responsible Person

Address of Responsible Person

Number of Certified Death Certificate Copies Needed

Was the deceased a US Veteran?

Do you want prayer cards with or without a photo of your loved one?

Have you decided on burial or cremation?

If burial and you already own a cemetery plot please provide the name of cemetery and grave location information or name and date of person last buried in the grave.

Do you want to hold a wake, with or without an open casket?

Where would you like to hold the wake?

Do you want to hold a church service, if so where?

Would you like any limos for the day of the funeral service?

Would you like to order Thank You cards to send to people after the services?

Cremation

Phone

Decedent’s Full Name

Maiden Name

Social Security Number

Place of Death

Date of Death

Place of Birth

Date of Birth

Home Address

Marital Status

Name of Spouse

Ethnicity & Nationality

Highest Level of Education

Occupation

Father's Name

Mother’s Name

Person taking responsibility for making funeral arrangements

Relationship of Responsible Person

Address of Responsible Person

Number of Certified Death Certificate Copies Needed

Was the deceased a US Veteran?

Yes, We have selected a Direct Cremation which includes the cremation with no viewing/wake, ceremonies or religious services.

Get a Pre-Arrangement Consultation

Schedule a time to work with our funeral directors on your final wishes which you may keep on file or may pre-fund. We are proud to partner with Pre-Need the funeral trust of the New York State Funeral Directors association, which protects your money so that it is guaranteed to be there when the time comes.

Form

Arrangement Form

Funeral Arrangement Form

Cremation

We’re Here to Help

Get a Pre-Arrangement Consultation

About Us

Services

Contact Us

Arrangement Form

Funeral Arrangement Form

Cremation

We’re Here to Help

Get a Pre-Arrangement Consultation

About Us

Services

Contact Us

Schedule A Free Consultation