Discover the benefits of

Pre-Planning a Funeral

There are numerous benefits to pre-planning a funeral, some of which include:

Provides peace of mind
Relieves your loved ones of unnecessary concern
Reflects your expressed wishes
Alleviates financial burden on your family

Please take a few minutes to fill out the Online Pre-planning form below.

Once the information is submitted, a Howell-Lussi Funeral Home representative will review and file it and will be in touch with you to further discuss the details of your arrangements.

Pre-Planning Questionnaire

Your information:

First Name

Middle Name

Last Name

Phone

Street Address

Address 2

City

State

Zip Code

Sex

Marital Status

Social Security No

Date of Birth

Place of Birth

Spouse's Full Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Father's Full Name

Mother's Full Name

Mother's Maiden Name

Work and Education:

Education

Usual Occupation (most of life)

Kind of Business

Company

Military Records:

Branch of Service

Serial Number

Date Enlisted

Rank At Discharge

Date Discharged

Discharge On File At

Copy of Discharge Papers?

Name(s) of War(s)/Conflict(s) Toured

Funeral Service Information:

Place of Service

Public or Private?

Viewing for family?

Viewing for friends?

Religious Denomination

Place of Worship

Lodge or Union

Disposition Information:

I Prefer:

Cemetery

Address

Phone

I Have Made a Last Will and Testament

Additional Information:

Flower Preference

Music Preference

Casket Pallbearers

Jewelry, Glasses, Clothing, etc.

Special Instructions:

Other Information

Memorials & Charities

Please select one of the options below

Discover the benefits of

Pre-Planning a Funeral

Pre-Planning Questionnaire

"A family-owned and operated funeral home with a professional and caring staff dedicated to helping you in your time of grief"

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