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1. Your Information

Address

If you are not responsible for arrangements, let us know who will be

2. Deceased's Personal Information

(Include city, county, state, zip code, country)
Mother is:
Father is:
*You will need to provide this at the arrangement conference*
Marital Status:

3. Education & Work

Prior to retirement, if retired

4. Family Information

* Example: Jose Garcia (Elizabeth Smith) *
* Example: Jose Garcia (Elizabeth Smith) *
* Example: Jose Garcia (Elizabeth Smith) *
* Example: Jose Garcia (Elizabeth Smith) *
* Example: Jose Garcia (Elizabeth Smith) *

5. Military Service

Military Service
Status
Would you like Military Honors for your loved one?
*Note: If you would like Military Honors, please provide Discharge DD214 documents at the Arrangement Conference *

6. Service Options

If your family is still thinking about/considering service options, please skip to Step 7
Visitation/Viewing/Wake Options
Funeral Options
Reception Options
Final Disposition
*Specify name, city and state of cemetery
We own cemetery property
We need to purchase cemetery property
Transportation
*Transportation to another state or country

*Please call 512-444-3355 after submitting this form*

It is imperative that you call 512-444-3355 if your loved one is in need of transportation into our care. When you call you will receive further guidance as to steps that will need to be made next. If you have not already made an appointment with your funeral director, please call to do so following submission of this form, 512-444-3355.