Apfel Funeral Home
 
 

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PRE - PLANNING

This document is presented as a guide to the information requested by your funeral director when arranging an at need or prearranged funeral. Apfels will keep this form on file and can be provided to your family with proof of designation (family, next of kin or executor). Not all the fields are required to be filled out. This form should be printed and kept with your other important papers.

Biographical Information

Planning guide is for
Full Name: 
E-Mail Address
Telephone Number including Area Code

Address:
Street
City
State
Zip
Resident Since
Citizen of (Country)

Place of Birth:
City
County
State
Zip
Date of Birth
Social Security Number

Parents:
Father
Place of Birth
Date of Birth
Mother (Maiden Name)
Place of Birth
Date of Birth

Family:
Marital Status
Spouse (Maiden Name)
Children

Name
Address
Phone

Work History:
Occupation
Employed by
Retirement Date

Education:
Elementary
High School
College

Military Service:
Branch
Rank
Date of Enlistment
Date of Discharge
Location of Discharge
Serial Number

Funeral Preferences:
Type of Service
Visitation
Place of Service Other
Conclude Service at Other
Religious Denomination
Place of Worship
Type of Clergy
Type of Interment
Casket Type

Special Instructions
Music to be Played
Music to be Sung
Favorite Bible
Passages
Literature
or Poems
Flowers
Flower Color
Donations

Final Disposition:
Preference Ground Interment with
Mausoleum Entombment
Cremation with
Cemetery Name
Cemetery Address

Finalizing Arrangements:
Do you have a will
Lawyers Name
Executors Name
Executors Address
Executors Phone Number
Executors E-mail Address
Executors Relationship to you

Relatives and Friends to Notify:

Name
Relationship
Address
Phone

  

 

Apfel Funeral Home
1123 W. 2nd 
Grand Island, NE 68801
Phone: 308-384-0590
Toll free: 877-479-4478
info@apfelfuneralhome.com