Online Preplanning Form | Etherington & Creran Funeral Homes

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Heartfelt Stories
OUR STORY
TESTIMONIALS
SERVICES
ADVANCED PLANNING
Make A Payment

Online planning Form

View Our Selection Brochure

Online Preplanning Form

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Information About The Intended Funeral Recipient

Who is this plan for?

Is This An Imminent Situation

YES

NO

A Death Has Occurred

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 Address

Recipient's Social Security Number

Recipient's Social Security Card

Recipient's Date Of Birth

Intended Funeral Recipient's Photo

Recipient's Place of Birth (city/ state)

Recipient's Birth Certificate

Intended Funeral Recipient's Gender

Male

Female

Non-Binary

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About You - The Informing Party

Informing Party's First Name

Informing Party's Last Name

Relationship To Intended Funeral Recipient

Cell Phone Number

Informant's Identification Upload

Informing Party's E-mail Address

Informing Party's Address

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Best Contact Option

Preferred Contact Preferences

Text

e-mail

Phone Call

Send Me Mail

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

Recipient's Spouse's Full Name

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

Proof Of Legal Union (marriage or partnership)

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Additional Family Members

Biological and/or Legally Adopted Children

Biological Siblings

Grandchildren

Great-Grandchildren

Other Family & Friends

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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

Occupation

Company Name

Company Address

Additional Occupation Information

Is the Intended Funeral Recipient A Veteran?

Yes

No

Military Separation Form DD214

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Intended Funeral Recipient's Preferences

Gathering Options

Private Gathering at Creran Celebration

Public Gathering at Creran Celebration

Public Gathering At Other Location

No Gathering

Funeral Ceremony Options

Private Funeral Ceremony

Funeral Ceremony at Creran 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

Final Disposition

Ground Interment (burial)

Mausoleum Entombment

Niche or Columbarium Placement

Following Cremation I would Prefer

Return Cremated Remains To Family

Divide & Distribute Cremated Remains

Scattering of Cremated Remains

Anticipated Budget for Funeral Expenses

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Your Preferences

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.

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

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

Notes, Thoughts, Comments, Suggestions...

Thank you! Your submission has been received!

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