Online Preplanning Form | Etherington & Creran Funeral Homes

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Online planning Form

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Online Preplanning Form

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Information About The Intended Funeral Recipient

Who is this plan for?

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We're here to assist you in planning a heartfelt goodbye experience. Please share some of your thoughts about those special moments that have been most important.

Please Share a Few Words That Captures Them...

What Qualities Do You Admire Most?

What Relationships Have Been Most Important?

Can You List A Few Objects That Would Best Capture Them?

What Fills Their Days & Time? Hobbies, Interests, Passions, Pastimes?

Is This An Imminent Situation

YES

NO

A Death Has Occurred

Date of Death (If Applicable)

Time of Death (If Known)

Which Funeral Home Do You Prefer?

Intended Funeral Recipient's First Name

Funeral Recipient's Middle Name

Funeral Recipient's Last Name

Intended Funeral Recipient's Photo

Recipient's Social Security Number

Recipient's Social Security Card

Intended Funeral Recipient's Legal Address

Recipient's Place of Birth (city/ state)

Recipient's Date Of Birth

Recipient's Birth Certificate

Intended Funeral Recipient's Gender

Male

Female

Non-Binary

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About You - The Informing Party, Purchaser, or Authorizing Agent

Informing Party's First Name

Informing Party's Last Name

Relationship To Intended Funeral Recipient

Cell Phone Number

Informant's Identification Upload

Proof of Legal Relationship to Recipient

Power of Attorney Or Other Auth.

Informing Party's E-mail Address

Preferred Contact Preferences

Text

e-mail

Phone Call

Send Me Mail

Informing Party's Address

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Best Contact Option

Best Time to Be Reached:

Informing Party's Social Media Links (please separate with commas)

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Family Information

Intended Funeral Recipient's Father's Name

Intended Funeral Recipient's Mother's First & Maiden Last Name

Intended Funeral Recipient's Marital Status

Proof Of Legal Union (marriage or partnership)

Recipient's Spouse's Full Name

Recipient's Spouse's Maiden Last Name (if applicable)

Biological and/or Legally Adopted Children

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Additional Family Members

Biological Siblings

Other Family & Friends

Grandchildren

Great-Grandchildren

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Education History

Highest Level of Education

8th Grade or Less

9th-12th Grade - No Diploma

High School Graduate or GED

Some Post High School Education - No Degree

Associate

Bachelor

Masters

PhD or Equivelant

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Work History - Please Do Not Put Retired

Occupation While Working

Company Name While Working

Company Address

Additional Occupation Information While Working

Is the Intended Funeral Recipient A Veteran?

Yes

No

Military Separation Form DD214

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Intended Funeral Recipient's Preferences

Final Disposition

Ground Interment (burial)

Mausoleum Entombment

Niche or Columbarium Placement

Gathering Options

Private Gathering at McGee Celebration

Public Gathering at McGee Celebration

Public Gathering At Other Location

No Gathering

Funeral Ceremony Options

Private Funeral Ceremony

Funeral Ceremony at McGee Celebration

Funeral Ceremony At Other Location

No Funeral Ceremony

Would you prefer burial or cremation?

Public Viewing, Ceremony, Burial

Public Viewing, Ceremony, Cremation

Cremation, Public Gathering, Memorial

Immediate Cremation

Following Cremation I would Prefer

Return Cremated Remains To Family

Divide & Distribute Cremated Remains

Scattering of Cremated Remains

Cemetery or Mausoleum

Cemetery Deed

Cemetery Town

Cemetery Lot Number

Individuals Previously Interred

Section In Cemetery

Grave Number

Anticipated Budget for Funeral Expenses

Please list any Memberships (Clubs, Groups, Fraternal, Civic, or Church)

Preferred Method of Payment

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APPLY FOR FINANCING

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FORMS LIBRARY

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Your Preferences

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

Please share any music preferences you have

Please list any special themes you would like to include

Please list any poems, religious texts, or readings you would like to be read at during the ceremony

Please list any specific foods or beverages you would like to make available to your family and guests at the services.

Thank you! Your submission has been received!

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