Online Planning Ahead

The Next Step

You may file vital statistic and preferred funeral information with us on-line by filing the following form.

Personal Information

Your Name(required)
Date of Birth(required)
Current Address
Phone
Email(valid email required)
Spouse's Name
Spouse's Maiden Name
Place of Marriage
Date of Marriage
Father's Name
Mother's Name

Work / Education History

Education
Occupation
Company

Military Record

Branch of Service
Serial Number
Date Enlisted
Rank At Discharge
Date Discharged
Discharge On File At
Copy of Discharge Papers
Name Of Wars
Person in Charge
Address
Phone
Insurance Information

Funeral Service Request

Place of Service
Funeral Home
Address
Phone
Place of Visitation
Religious Denomination
Place of Worship
Lodge / Union
Person in Charge of Final Arrangements

Special Instructions

Flower Preference
Music
Casket Bearers (6):
1
2
3
4
5
6
Jewelry
Glasses
Clothing
Other

Disposition Request

I Prefer
Cemetery
Address
Phone
Section
I have made a last will and testament
Location
New Field
Other Instructions
Memorials / Donations to Charity
Please select one of the following options
Verification

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This form will be sent to our team, or feel free to email us directly at wecare@mvfuneralhome.com