Online Preplanning Form | Scott's Funeral Home

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About Us
Obituaries
Services
Pre-Plan
Grief Support
Resources

Pre-Plan Form

Online Preplanning Form

Planning in advance is about making your wishes known and we've created this simple online form to assist you. You may fill out as much or as little as you wish, but we do need your basic contact information so we can follow up with you to get any additional information we may need to complete your arrangements.

If you have any questions, or would like assistance with this form, please call (254) 865-5411

Online Preplanning Form

Free Text

Personal Information of Deceased

Who is this plan for?

First Name

Middle Name

Last Name

Address

Free Text

About You

Email Address

Phone Number

Free Text

Family, Work, & Education

Free Text

Family Information

Father's Name

Father's Address

Mother's Name

Mother's Address

Marital Status

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Free Text

Additional Family Members

Siblings (alive)

Siblings (deceased)

Children (alive)

Children (deceased)

Grandchildren (alive)

Grandchildren (deceased)

Great-Grandchildren (alive)

Great-Grandchildren (deceased)

Free Text

Education History

School Name

Highest Level of Education

School Location

Free Text

Work History

Occupation

Company Name

Years At Company

Did this person serve in the military?

Yes

No

Free Text

Your Wishes

Visitation Options

Visitation at funeral home

Visitation elsewhere:

No Visitation

Funeral Service Option

Funeral service at funeral home

Funeral service elsewhere

No Visitation

Reception Options

Reception at funeral home

Reception elsewhere:

No Visitation

Would you prefer burial or cremation?

Burial

Cremation

Final Disposition

Ground Interment (burial)

Mausoleum Entombment (above ground burial)

Columbarium (for cremation urns)

Ashes returned to family

Would you prefer to include a graveside/committal service?

Yes

No

Thank you for contacting us.
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Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law.

All complaints must be in writing. Concerning the Prepaid Contract: Texas Department of Banking, 2601 North Lamar Boulevard, Austin, Texas 78705; 1-877/276-5554 (toll free); www.dob.texas.gov.

Address: 2425 E. Main St.

Gatesville, Texas 76528

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Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law. All complaints must be in writing. Concerning the Prepaid Contract: Texas Department of Banking, 2601 North Lamar Boulevard, Austin, Texas 78705; 1-877/276-5554 (toll free); www.dob.texas.gov.

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