Immediate Need

Has a death recently occurred?
Contact us immediately.

When You Need Us, We’re There
For You

If you’ve recently lost a loved one, you have our deepest sympathies and our heartfelt prayers. Make us your first phone call, and our family will do everything we can to help you make the many decisions you will face.

To help expedite the planning process, we invite you to fill out our online form. It’s a convenient way to provide us with important details and begin making arrangements—anytime, from anywhere. Provide as little or as much detail as you would like, and if you have questions as you walk through the form, don’t hesitate to call us.

Call us 24 hours a day, seven days a week, and we will be there for you.

Information About the Person Completing This Form
I am making arrangements for*
Name*
First Last
Middle
Phone*
Email
Address
Street Address Address Line 2 City State ZIP Code
County
Information About the Person for Whom Arrangements Are Being Made
Name
First Last
Middle
Gender
Marital Status
Date of Birth
Month
Day
Year
Place of Birth
Spouse's Full Name
Spouse's Maiden Name
Place of Marriage
Date of Marriage
Month
Day
Year
Mother's Name
Mother's Maiden Name
Father's Name
Work and Education
Education (Primary)
Years Attended
College (1-5+)
Years Attended
Usual Occupation (most of life)
Kind of Business
Company
Military Records
Branch of Service
Serial Number
Dishcharge on file at
Date of Dishcarge
Month
Day
Year
Rank at Discharge
Copy of Discharge
- Yes
- No
Names of War(s)/Conflict(s) Toured
Funeral or Memorial Service Preferences
Place of Service
Name of Funeral Home
Address
Phone
Place of Visitation
I prefer the funeral service to be
Viewing of Family
- Yes
- No
Viewing of Friends
- Yes
- No
Religious Denomination
Place of Worship
Lodge/Union
Primary Contact for Finalizing Arrangements
Full Name
Street Address
City
State
Zip
Phone
Special Instructions
Flower Preference
Music
1.
2.
3.
4.
5.
6.
Jewelry
Glasses
Clothing
Other
Disposition Options
I prefer
Cemetery
Address
Phone
Section
I have made a Last Will and Testament
Other Information and Special Instructions
Please list any other instructions you would like us to have
Memorials and Charities
Please list any memorials or donations that you would like
Contact Options
- Send me a copy of this submission
- Please contact me as soon as possible
Email
This field is for validation purposes and should be left unchanged.

Immediate Need

Information About the Person Completing This Form

Information About the Person for Whom Arrangements Are Being Made

Work and Education

Military Records

Funeral or Memorial Service Preferences

Primary Contact for Finalizing Arrangements

Special Instructions

Disposition Options

Other Information and Special Instructions

Memorials and Charities

Contact Options