Prearranging Form

The O’Connell-Benedict Family Funeral Homes have prepared the following questions to assist you with the pre-planning process. These are some of the basic biographical and informational questions that would come up when making arrangements.

You can fill out this form and print it for your records and also keep a copy with us by hitting the Submit button.
All the information will remain STRICTLY confidential. **This form does not ask for the individual’s social security number, however when meeting with a funeral director, either for pre-arrangements or at-need arrangements, we will need this bit of information.






    YesNo


    Do you wish to be contacted by phone or e-mail?YesNo
    Your Email (required)

    Can we send you a free no obligation advanced
    planning guide?YesNo

    To ensure that we do not receive spam emails input the characters that you see in the image

    captcha