Hahn-Groeber Funeral Homes
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Pre-Need

For the same reasons you write a will, make retirement plans, or buy life insurance, people feel that it is a good idea to plan for the future and make their funeral arrangements.

Peace of mind... At the time of an actual funeral most decisions need to be made within a few hours. By pre-planning, you can take your time and make the decisions in an unhurried and thoughtful way.

You can save money... You can select the type of service you would like and how much you would like to spend. By paying for a service now, you can protect your assets from future unexpected expenses and may qualify for Medicaid or SSI benefits.

Your personal touch... Many people have very specific ideas of how they would like their service to be conducted. Many have personal hobbies or interests that they would like incorporated into the service such as a quilt display, fishing gear, or favorite family photos. Many people have a special poem or Bible verse they would like read or a favorite song played. Making a service that is a personal tribute is a lasting memory for the survivors and helps the grief process.

Please use this page to begin the process of preplanning with us. If you have questions or need help, please do not hesitate to call.

Your Full Name:


Your Email Address:


Your Maiden Name:


Street/Mailing Address:


City:


State:


Date of Birth:


Place of Birth:


Social Security Number:


Spouses 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:



 

 

About Us Obituaries Services Pre Need Links Contact Us

staff@hahnfh.com

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