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Pre-Planning

Vital Statistics Form
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Obituary Information Form

This form is used to start an obituary. We'll help you draft one up at the time of arrangements,

but it is a good thing to get done before you come in, if you're able.

The form is fairly basic, with the usual information one would find on an obituary, but we're happy to sit down with you and make it more personal when we meet.

Obituary Information
City, State (years, if desired)
Where did they attend? - When did they graduate?
City, State (years if desired)
Enter All Relevant Information Here
Use Maiden Name, if Applicable
Church - City, or Town
Where were they employed? - Put number of years, if desired.
Years Served, Places Stationed, or Stories About
Share Whatever Else You'd Like

Surviving Family Members

Names, Spouses (and where they live, if desired)
Names & Spouses
Names
Names, Spouses (and where they live, if desired)
Names, Spouses (and where they live, if desired)
And Their Relationship of the Deceased

Deceased Family Members

Siblings, Children, Etc.

Feel free to email us a picture of your loved one.

For the Arrangement

Things to Think About

  • Who will the casket bearers be?
  • Are there any favorite hymns or songs?
  • Are there any favorite readings or poems?
  • Other service requests?

Things to Bring

  • A photo for an obituary and memorial folder
  • Clothing (including undergarments)
  • Jewelry
  • Veteran's Paperwork  (DD214)

Be Sure to Complete Both Forms as You're Able 

Copy/Paste this Link to Vital Statistics Page in Your Browser:

Security Question Below Please complete this before submitting the form

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