site image

Pre-Arrangements Form


Use this form to provide us with as much or as little detail as you wish. At a minimum, provide us with your name and telephone number and tell us how you'd like us to work with you on the remaining information.

- Use the buttons at the very bottom of this form -

Pre-Arrangement Details

Who is Making Arrangements?

If not "Myself" or "Parent"

Next of Kin generally means the one who has the authority to make the decisions after death, typically one who is the most closely related.

In Minnesota, it runs: Spouse, Adult Child, Parent, Sibling, Adult Grandchild, etc.

Power of Attorney has no bearing on this, though an individual explicitly named to handle funeral arrangements in a Healthcare Directive trumps all degrees of kinship.

Personal Information -for whom the future funeral is being planned

Please use the area above to enter the names of siblings, children and grandchildren.

Funeral Service Requests

- A Traditional Funeral is one that will allow the family to view their loved one and have the body present at the service, in a casket, followed by interment in a cemetery. Embalming is generally required.

- A Traditional Funeral Followed by Cremation will allow the family to view their loved one and have the body present at the service, in a cremation casket or rental casket, followed by cremation.

- A Family Viewing with a Memorial Service will allow the close family to view their loved one. Generally, we will wash, disinfect, and dress the unembalmed body for viewing in an Alternative Container. Following the family service, cremation will occur, and a memorial service will be held with the cremated remains present in an urn.

- A Cremation Followed by a Memorial Service will not allow for viewing of the body, and will have the cremated remains at the service, in an urn, typically followed by interment in a cemetery. (a family may keep the cremated remains as per their wishes)

Work/Education History

Military Record

Other Details

How Should We Get In Touch?

Security Question Below Please complete this before submitting the form

© 2023 DuBore Funeral Home. All Rights Reserved. Funeral Home website by CFS & TA | Terms of Use | Privacy Policy | Accessibility