Janazah Planner – Schlientz & Moore – Gather Forms for Static Sites

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Domain

Type of Plan

*This planner is for making Ghusl, Janazah & Burial arrangements.

Your Information

Your First Name(Required)

Your Middle Name

Your Last Name*(Required)

Your Email Address(Required)

Your Phone Number(Required)

Who are we planning for today?

To make this process as fast and straightforward as possible, we will begin collecting the details needed to create a Death Certificate. Please select whether this plan will be for yourself or if you’re making arrangements on behalf of a loved one.

Who is this plan for?(Required)

If Other, please specify:(Required)

First Name(Required)

Middle Name

Last Name*(Required)

Address for the person this plan is for:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If Deceased - In what type of facility did they pass?

Address of Facility

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Personal and Life History

Family Information

Gender:

Male

Female

Birth Place Address(Required)

City State / Province / Region ZIP / Postal Code Country

Date(Required)

Date

Marital Status:

Married

Single

Widowed

Spouse's Full Name

Spouse's Maiden Name

(The name she was given at birth)*

Marriage Date:

Mother’s Name

Mother's Maiden Name

(The name she was given at birth)*

Father’s Name

Siblings (Living)

Siblings (Deceased)

Children (Living)

Children (Deceased)

Grandchildren (Living)

Grandchildren (Deceased)

Great-Grandchildren (Living)

Great-Grandchildren (Deceased)

Education & Work

Highest Level of Education

Occupation

(Any job/career in their life - it is a required field for the Death Certificate) *

Industry

Veteran Information

If these arrangements are for a veteran, we may have additional options for celebrating and commemorating their service as a part of these arrangements. Please provide details about their service record below.

Military Service?

Yes

Branch of Service

Years Served

Service Number

VA File Number

Date Entered

Date Discharged

Discharge Papers Received?

Yes

Interested in Honors?

Yes

Requested Presence?

Yes

Flag?

Yes

Visitation Options

Visitation at funeral home

Visitation at a custom location

I do not wish to have visitation hours

Funeral Services

Knowing your funeral preferences will help us build arrangements that are appropriate for you. If you have not yet decided on services, we can discuss at another time.

Would you like to have a funeral service?

Public

Private

Unsure

Funeral Ceremony Options

Funeral ceremony at funeral home

Funeral ceremony at a custom location

I do not wish to have a funeral ceremony

Reception Options

Reception at funeral home

Reception at a custom location

I do not wish to have a reception

Would you prefer a burial or a cremation?

Burial

Cremation

Unsure

Final Disposition

Ground Interment (burial)

Mausoleum Entombment (above ground burial)

Columbarium (for cremation urns)

Ashes returned to family

Would you prefer to include a graveside/committal service?

Final Disposition

Yes

Packages

We offer several packages to make the planning and selection process as simple as possible. Please review the options below and choose the one you feel best meets your preferences. If you are unsure which package is most suitable, we can assist you upon receiving your plan.

Islamic Stillborn Burial Services

Starting at $150.00 (Originally $1,598.00) Includes: Professional Services of the Funeral Home & Staff, & Burial Permit.

Masjid AbuBakar & Masjid Ibnu Taymiyah $250 Islamic Infant Burial Services (age 0-1y)

Starting at $391.35 (Originally $2,529.35) Includes: Professional Services of the Funeral Home & Staff, Transportation (within 20 miles) to Masjid of Choice, Transportation from Masjid to Cemetery, Burial Permit, and donation to Masjid for use of the washroom, utilities & supplies. Franklin County Vital Records fee & 1 Death Certificate

$500 Islamic Toddler Burial Services (age 1-3y)

Starting at $500.00 (Originally $1,639.35) Includes: Professional Services of the Funeral Home & Staff, Burial Permit, and donation to Masjid for use of the washroom, utilities & supplies. Franklin County Vital Records fee & 1 Death Certificate

Masjid AbuBakar & Masjid Ibnu Taymiyah $800 Islamic Child Burial Services (age 4-7)

Starting at $1,241.35 (Originally $2,829.35) Includes: Professional Services of the Funeral Home & Staff, Transportation (within 20 miles) to Masjid of Choice, Transportation from Masjid to Cemetery, Burial Permit, and donation to Masjid for use of the washroom, utilities & supplies. Franklin County Vital Records fee & 1 Death Certificate

Masjid AbuBakar & Masjid Ibnu Taymiyah $1200 Islamic Adolescent Burial Services (age 08-12)

Starting at $1,641.35 (Originally $2,829.35) Includes: Professional Services of the Funeral Home & Staff, Transportation (within 20 miles) to Masjid of Choice, Transportation from Masjid to Cemetery, Burial Permit, and donation to Masjid for use of the washroom, utilities & supplies. Franklin County Vital Records fee & 1 Death Certificate

Masjid AbuBakar & Masjid Ibnu Taymiyah $1300 Islamic Teenage Burial Services (age 13-15)

Starting at $1,741.35 (Originally $2,829.35) Includes: Professional Services of the Funeral Home & Staff, Transportation (within 20 miles) to Masjid of Choice, Transportation from Masjid to Cemetery, Burial Permit, and donation to Masjid for use of the washroom, utilities & supplies. Franklin County Vital Records fee & 1 Death Certificate

Masjid AbuBakar & Masjid Ibnu Taymiyah $1400 Islamic Young Adult Burial Service (age 16-17)

Starting at $1,841.35 (Originally $2,829.35) Includes: Professional Services of the Funeral Home & Staff, Transportation (within 20 miles) to Masjid of Choice, Transportation from Masjid to Cemetery, Burial Permit, and donation to Masjid for use of the washroom, utilities & supplies

Masjid AbuBakar & Masjid Ibnu Taymiyah $1500 Islamic Adult Burial Services (age 18+)

Starting at $1,941.35 (Originally $2,829.35) Includes: Professional Services of the Funeral Home & Staff, Transportation (within 20 miles) to Masjid of Choice, Transportation from Masjid to Cemetery, Burial Permit, and donation to Masjid for use of the washroom, utilities & supplies. Franklin County Vital Records fee & 1 Death Certificate

Hindu Funeral Services

Starting at $2,745.00 (Originally $3,663.00) Includes: Transportation to Crematory, Transportation of deceased into our care, Disposition Permit, Professional Services of the Funeral Home & Staff, Cremation Container, Cremation Fee

Choose A Package

Ceremony Requests

Is there someone specific you would like to provide prayers? Officiant Information

Please list any musical selections you would like to include in your ceremony...

Please list any poems, religious texts, or readings you would like to be read at your ceremonies...

Please list any interests or hobbies you would like to include into your services...

Please list any special themes you would like to include into your services...

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

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

Upload Files

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