The following is a checklist to help you remember what items to bring to your arrangement appointment: (you may print
this page for your records)
1. Social Security Number
2. Copy of Discharge (if deceased was a veteran)
3.
Insurance Papers (if you want help in filing claims)
4. Clergy/Speaker Preference
5. Cemetery/Church Preference
6.
Names of Pallbearers (Active and Honorary)
7. Music Preference
8. Clothing
9. Jewelry
10. Glasses (if
appropriate)
11. Recent Photograph
12. Biographical Information
Biographical Information
Name:
Address:
City/County State/Zip:
Social Security Number:
Birthplace-City State:
Date of Birth:
Primary Physician:
Employment/Retired:
Date of Retirement:
Employer:
Spouse:
Father's Name:
Mother's Maiden Name:
Church Membership:
Was Deceased a Veteran?
If so, Name of War:
Organizations:
Survivors (Names & Phone Numbers)
Spouse
Parents
Sons
Daughters
Number
of Grandchildren (Names if Desired)
Number of Great Grandchildren (Names if Desired)
Brothers
Sisters
Additional Close Relatives
Additional Information you may feel is important
