Online Preplanning Form

Pre-Planning Form

Free Text

Please enter your contact information so we can reach you to finalize the pre-plan.

Your Full Name:

Your Email:

Your Phone:

Free Text

Please provide as much information as possible about the person you are planning for.

This plan is for:

First Name

Middle Name

Last Name

Suffix

Maiden Name

Sex

Address

Social Security Number

Race

Place of Birth (City)

Place of Birth (Parish/County)

Place of Birth (State)

Place of Birth (Country)

Date of Birth

Age

Marital Status

City and State Married

Date Married

Name of Spouse/Partner (Maiden name, if applicable)

Free Text

Family Information

Father's First Name

Father's Middle Name

Father's Last Name

Father's Place of Birth (City)

Father's Place of Birth (Parish/County)

Father's Place of Birth (State)

Father's Place of Birth (Country)

Father

Mother's First Name

Mother's Middle Name

Mother's Last Name

Mother's Maiden Name

Mother's Place of Birth (City)

Mother's Place of Birth (Parish/County)

Mother's Place of Birth (State)

Mother's Place of Birth (Country)

Mother

Free Text

Occupation

Usual Occupation

Type of Business/Industry

Employer

Years in Occupation

Free Text

Education

Highest Grade Completed

Free Text

Armed Forces

Veteran

Branch of Service

Free Text

Disposition Instructions

Disposition Preference

Place of Disposition

Free Text

Cemetery Instructions

Cemetery Property Owned?

Name of Cemetery

Address of Cemetery (Address, City, State)

Cemetery Phone

Section/Garden

Cemetery Lot

Free Text

Informant/Next of Kin

1) Full Name

1) Relationship

1) Phone

1) Email

1) Address

2) Full Name

2) Relationship

2) Phone

2) Email

2) Address

Free Text

Please Read and sign below

The preceding information represents my personal wishes for the purposes of assisting my family in making funeral and cemetery arrangements at the time of my death. I understand that a contract between the funeral home and me in which the funeral home agrees to provide specific services and merchandise which I may pre-select, and for which I may pre-pay, may be available to me, but I wish to clearly advise my family that this form does not constitute such a contract. As of this date, I would prefer that my family work with (please state Funeral Home Below), and honor the requests set above.

From the above please state the Funeral Home

Signature

Date

Free Text

Thank you for choosing Kings Funeral Home

Please click Submit and we will contact you shortly. For further questions please call us 337.439.7729.

Get in Touch

Online Preplanning Form