Pre-Arrangement

Westcott Funeral Home offers several options for prearrangement and prefinancing, and encourages families to preplan funeral arrangements. Many people do preplan, and relieve loved ones of many difficult decisions later by stating their preferences now. It is truly a gift to those left behind.

You will never know the many options that are available unless you ask.

Westcott Funeral Home uses insurance funded policies which are fully transferable and are regulated by the state.

Advance planning avoids family disagreements. When several children are called together to make one choice, it can lead to increased tension and hurt feeling. Your specific reorded wishes will elminate this problem. A final tribute is a time to bring families together not to divide them.

It's true. Making financial decisions rationally, before the need, affords you the time and patience it takes to make good choices. The emotional issues at the time of death can sometimes cloud judgment, and the stress of having to make these choices can get in the way of what's really important, healing.

Westcott Funeral Home offers you this prearrangement form as a way to get started. Provide as much information as you are comfortable with, and please indicate, at the conclusion, your preference for contact by our staff.


*Requires Adobe Acrobat Reader

Please ask for the "Five Wishes" Planning Guide.

Information about person completing the form:
I am Planning for:
Last Name:
First Name:
Middle Name:
E-mail:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Vital Information about the person you are planning for:
Last Name:
First Name:
Middle Name:
Sex:
Marital Status:
Social Security#:
Date of Birth: (ex. 1999)
Place Of Birth:
Spouse's Full Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage: (ex. 1999)
Father's Full Name:
Mother's Name:
Mother's Maiden Name:


Work and Education:
Education:
Usual Occupation:
(most of life)
Kind of Business:
Company (Optional):

Military Records:
Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers:   YES    NO
Name Of  Wars:

Funeral Service Information:
Place Of Service:
Name of Funeral Home:
Address:
Phone:
Place of Visitation:
I Prefer The Funeral Service To Be:
Viewing For Family:
Viewing For Friends:
Religious Denomination:
Place Of Worship:
Lodge / Union:

Person(s) To Finalize Arrangements At Time Of Death:
Check here and skip this section if is information is the same as person filling out this form
 
Full Name:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Special Instructions:
Flower Preference:
Music
Casket Bearers (6):
Jewelry:
Glasses:
Clothing:
Other:

Disposition Options:
I Prefer:
Cemetery:
Address:
Phone:
Section:
I have made a last will and testament:   YES    NO


Other Information & Special Instructions
Please list any other instruction or information you would like us to have:

Memorials & Charities
Please list any Memorials or Donations to Charity that you would like:


Options
Please select one of the options below:
Send information about pre-arrangement
Contact me to set an appointment
Please keep my information on file



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