Planning Ahead

The term "Pre-Planning" is used to describe the process, which allows a person to plan their service before they actually need it. Many times it is very difficult for people to make the many decisions required after the death of a loved one. Prearrangement of the funeral service details will lessen the number of decisions your family members will have to make at a very emotional time of their lives. Our Funeral Prearrangement Services include:

• Our full time Advance Funeral Planning Advisor can arrange private consultations with no cost or obligation at one of our funeral homes or in the privacy of your own home.

• Written and detailed recording of your family information and your unique wishes and desires.

• Assistance with selecting the appropriate services, merchandise, and monuments to meet your needs.

• Complete review of all our flexible and affordable funding options.

• Multiple copies of arrangements to be given to your family members.

Feel free to talk with one of our professional Funeral Directors regarding planning ahead. If you would like to begin the process of planning ahead, please select one of our forms to fill out. Our short form is simple information we need to make contact with you. Our long form (below) is more in-depth and can be completed with as much information as you would like to enter.

Please complete the Vital Records Form below and click on submit when you are finished.  This information is completely confidential and will be kept on file at the Smith Funeral Home.  Please check the box below if you would like our prearrangement advisor to contact you with any other questions or comments. 

	By checking this box, you hereby give the Smith Funeral Home permission to contact you regarding your prearrangements.
Your Full Name:
Your Email Address:
Your Maiden Name:
Street/Mailing Address:
City:
State:
Date of Birth:
Place of Birth:
Social Security Number:
Spouse's Name:
Spouse Survived? Yes     No
Marital Status:
Date of Marriage:
Place of Marriage:
Names of Previous Spouses:
Names of Parents:
Address of Parents (if still living):
Names of Children:
Addresses and Phone numbers of Children:
Names of Brothers and Sisters:
Addresses and Phone numbers of Brothers and Sisters:
Names of other friends and relatives who should be notified:
Addresses and Phone numbers of other friends and relatives:
Occupation:
Names of present and previous employers:
Addresses and Phone numbers of present and previous employers:
If you are a veteran
Date of enlistment:
Place of enlistment:
Date of discharge:
Place of discharge:
Rank:
Service Numbers:
Organization or outfit:
Commendations received:
Location of discharge papers:
Flag desired to drape casket:
Religious affiliation:
Professional and fraternal organization memberships:
Education (list schools attended and dates of any degrees or honors received):
Names of newspapers for obituary:
Organ Donation (list of authorized card and anyone who should be notified):
Funeral director or funeral home you prefer:
Clergyperson or anyone else you would like to officiate:
Funeral Service Location:
Visitation instructions:
Music, hymns or readings you would prefer during your service:
Memorial Donations you would like in your memory:
Names and Addresses and Phone Numbers of casket bearers:
Cemetery Name:
Address and location of cemetery property (include lot and grave number):
Casket and/or vault preference:
If you wish to be cremated, include disposition preference:
Location of will:
The name of the executor of your estate:
Address and phone number of the executor of your estate:
Location of safety deposit box and key:
Attorney's name:
Attorney's address and phone number:
Location of checking accounts, checkbooks, savings accounts and passbooks:
Credit cards and charge accounts to be canceled. (For security purposes do not list Credit Card Numbers here, just the names of cards.)
Insurance company name and policy numbers:
Location of insurance policies:
Any additional instructions:

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Smith Funeral Homes
Grinnell, IA • Victor, IA

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