Preplanning On-Line

Please call us if you would rather discuss your preplanning options; we are always available to help. You may reach us at (270) 384-2145, or email us at info@stottsphelpsmcquearyfh.com. We provide the following preplanning form if you would prefer to supply information on-line.

The preplanning form permits you to enter a large amount of information. However, please enter only as much or as little as you feel appropriate. We can contact you if we need more information, or check the box toward the bottom of the form if you do not want us to contact you.

Personal Information

First Name:
Middle Name(s):
Last Name:
Telephone Number:
E-mail Address:
 
 
Address:
Town/City:
State:
Zip Code:
Date of Birth:
Place of Birth:
(city & state or county & state)
Marital Status:
Spouse's Name:
(Maiden name and full name of wife or husband's full name)
Occupation:
(for longest period during working life)
Social Security Number:
Father's Full Name:
Mother's Full Name:
(include her maiden name)

Person who will be in charge of my funeral arrangements:

Name (person in charge): 
Address (person in charge): 
Town/City (person in charge): 
State (person in charge): 
Zip Code (person in charge): 
Phone Number (person in charge): 

Military Information

Branch of Service:
Description of Service:
(Wars fought in, medals earned, military campaigns)
Veteran's Service Number: 
Rank: 
Discharge Papers Location:

Family Members

Spouse:
(Address and phone numbers)
Daughters:
(Hometowns and phone numbers)
Sons:
(Hometowns and phone numbers)
Grandchildren:
(Hometowns and phone numbers)
Sisters:
(Hometowns and phone numbers)
Brothers:
(Hometowns and phone numbers)
Other Relatives:
(List relation, hometowns, and phone numbers)

My Funeral Service Preferences

Place of Service:
(Funeral Home, Church, Graveside, or other)
Clergy:
(Minister's hometown and phone number)
Type of Disposition: Burial
Entombment
Cremation
Other (Describe Below)
Cemetery Property Owned? Yes No
Name of Cemetery:
(Include: Location of Cemetery, City, & State)
Cemetery Preference:
(If property not owned, include location of cemetery, city & state)
Music Selections:
(Organ or piano background, live vocal, or recorded music) )If live vocal, include the vocalist, and their phone number) (List of songs)
Pallbearers/Honorary Pallbearers:
(Include pallbearers hometown, home phone number, and bearer type designation)
(A = Active Bearer, H = Honorary Bearer)
Lodge, Society, Fraternal Organization:
(List involvement and if you would
like an honor guard)
Flowers:
Memorial Contributions / Donations:
Obituary Information:

(List education and place of schooling, wedding date and place, work history and places lived and worked, Clubs, Lodges, Hobbies, significant accomplishments, Boards, Committees and community and Church involvement, etc.)
Any information or special instructions not previously listed:

Please check as many of the following as apply.

Please contact me so that I may select my casket and vault in advance.
Please forward me a copy of my information for my records.
Please contact me if any of my submitted information needs clarification.
File my information for future reference at Stotts-Phelps-McQueary Funeral Home, but please do not contact me.
I would like to discuss my pre-payment options with no obligation, please contact me.

Why Preplan

The thought of the funeral of a loved one may be unpleasant, but preparing for the inevitable can be a wise decision. Preplanning provides assurance to the family that the wishes of their loved one will be known and acted upon.

Families face many decisions at an emotionally stressful time when funeral arrangements have not been made ahead of time. Family members forced to make sudden decisions can on occasion be prey to emotional overspending.

Planning before the need arises can make sense and does not necessarily involve a financial commitment. We would be pleased to help you plan a service that would be right for you and that fits your budget. Feel free to contact us anytime. Please feel free to use the form to the right if you like. Complete as much or as little fo the form as you like.

210 Greenburg St., P.O. Box 236, Columbia, KY 42728 (270) 384-2145 info@stottsphelpsmcquearyfh.com

Site designed and hosted by Loving Honors, Inc.
Feedback: info@lovinghonors.com