Funeral Prearrangement

Document your wishes for your funeral service

About This Form

Planning ahead for your funeral service is a thoughtful gift to your loved ones. By documenting your wishes now, you help relieve your family of difficult decisions during an emotional time and ensure that your service reflects your personal preferences.

This form allows you to record:

  • Who you would like to coordinate your service
  • Your preferred clergy and funeral home
  • Ceremony and disposition preferences
  • Scripture, music, and reading selections
  • Special requests and biographical information

Privacy Note: All information submitted through this form will be kept strictly confidential and will only be accessed when needed for planning purposes.

My Wishes for a Funeral Service

This form allows you to document your wishes for your funeral service. The information you provide will be kept confidential and used only to help plan your service according to your preferences.

Personal Information

Designated Coordinators

Unless in conflict with legal rights of others, I desire that the following individual(s) be allowed to coordinate or plan my funeral service.

Coordinator 1

Coordinator 2

Coordinator 3

Alternate Coordinator (if not possible)

Clergy and Funeral Home Preferences

Ceremony and Remains Preferences

Cost and Quality Preferences

Special Requests

Note here the "little" things which could make a big difference: clothing, hairdresser, glasses, pall bearers, flower preferences, or anything else.

Memorial Contributions

Scripture and Readings

Service Preferences

Do you desire Holy Communion to be part of your funeral service?
Do you desire a viewing?
The church prefers that the casket be closed during the service. Is that okay?
Will there be a video tribute used at your service?

Biographical Information

This information will help create your obituary and memorial.

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