Preplanning


More and more people are realizing the advantages of pre-arranging their funerals. The process is simple and the benefit to loved ones left to handle the arrangements is well recognized. The benefits are numerous: pre-planning allows you to express your own wishes; there is a guaranteed funeral price; your funeral plan is transferable in case you move away; it relieves your family of the financial burden. By relieving your family of burdensome decisions at a difficult time, you are showing your love and respect for their needs, too.

The online pre-planning form to the right was designed to allow us to gather basic information about you and your desired funeral service.

On-Line Preplanning Form

Personal Information


First Name:
Middle Name(s):
Last Name:
Telephone Number:
E-mail Address:
 
 
Address:
Town/City:
State:
Zip Code:
Date of Birth:
Place of Birth:
(city & state or County & state)
Marital Status:
Spouses Name:
(Maiden name and full name of wife or husband's full name)
Occupation:
(for longest period during working life)
Social Security Number:
Father's Full Name:
Mother's Full Name:
(include her maiden name)

Person who will be in charge of my funeral arrangements:


Name:
Address:
Town/City:
State:
Zip:
Telephone Number:


Military Information


Branch of Service:
Description of Service:
(Wars fought in, medals earned, military campaigns)
Veteran's Service Number: 
Rank: 
Location of Discharge Papers: 


Family Members


Spouse: 
(Address and phone numbers)
Daughters:
(Hometowns and phone numbers)
Sons:
(Hometowns and phone pumbers)
Grandchildren:
(Hometowns and phone numbers)
Sisters:
(Hometowns and phone numbers)
Brothers:
(Hometowns and phone numbers)
Other Relatives:
(List relation, hometowns, and phone numbers)


My Funeral Service Preferences


Place of Service:
(Funeral Home, Church, Graveside, or other)

Clergy:
(Minister's hometown and phone number)


Type of Disposition: Burial
Entombment
Cremation
Other (Describe Below)


Cemetery Property Owned? Yes No
Name of Cemetery:
(Include: Location of Cemetery, City, & State)


Cemetery Preference:
(If property not owned, include location of cemetery, city & state)



Music Selections:
(Organ or piano background, live vocal,
or recorded music)
(If live vocal, include the vocalist,
and their phone number)
(List of songs)


Pallbearers or Honorary Pallbearers:
(Include pallbearers hometown, home phone number, and bearer type designation)
(A = Active Bearer, H = Honorary Bearer)


Lodge, Society, Fraternal Organization:
(List involvement and if you would
like an honor guard)


Flowers:

Memorial Contributions / Donations:

Obituary Information:

(List education and place of schooling, wedding date and place, work history and places I lived and worked, Clubs, Lodges, Hobbies, what I liked doing, significant accomplishments, Boards, Committees and community and Church involvement, etc.)



Any information or special instructions not previously listed:


Please check as many of the following as apply.


Please contact me so that I may select my casket and vault in advance.
Please forward me a copy of my information for my records.
Please contact me if any of my submitted information needs clarification.
File my information for future reference at O'Neil-Lawson Funeral Home, but please do not contact me.
I would like to discuss my pre-payment options with no obligation, please contact me.

O'Neil-Lawson Funeral Home 204 N. Kentucky St., Corbin KY 40701(606) 528-4411 Fax: (606) 528-2434 info@oneilfh.com

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