Register your Wishes

REGISTER YOUR FUNERAL OR CREMATION WISHES

Making these decisions now will assure that your wishes will be followed. It will also protect your family from being taken advantage of at a time of death.

3 ways to Register (it’s easy!)

  1. Register by E-mail with form below
  2. Request Registration form by mail
  3. Print Registration form and mail or bring to any of our offices

When you register, we will send you the following:
Laminated ID card with our 24 hour number
Notification Cards to give to family and friends

If you have any questions, please call us at 1-800-766-7007

If cremation is your choice, fill out the following form:
CREMATION DECLARATION AND REGISTRATION FORM

If a casketed burial is your choice, fill out the following form:

FUNERAL DECLARATION AND REGISTRATION

This form is to advise family and friends of my decision to choose a casketed burial as my final disposition. At my death, this form will be shared with my family.

I,(sign here) ,being of sound mind, state that, after my death, I want my family and all others concerned, to follow my wishes as stated in this Funeral Declaration Form. This form is meant to replace any information in regards to my final disposition that went before today, (today’s date)

Initial one of 2 items below:

I want a funeral with viewing and graveside service.I want a simple burial with graveside service, but no viewing.

Designate Casket:

Designate Church

Designate Cemetery

Other Details

This is the person(persons) with whom I have entrusted my funeral decisions:

Name:

Tel#

Name:

Tel#

VITAL STATISTICS

(The following information is necessary for the death certificate. This information is kept strictly confidential)

Print Name

Address

State

Zip Code

Telephone Number

Date of Birth

Place of Birth

Social Security Number

Check one of the following:

MarriedNever MarriedDivorcedWidowed

Name of Spouse

Wife's Maiden Name

Occupation (before retirement)

Years of Education

Father's Name

Mother's full Maiden Name

Check this box if you would like information on pre-payment plans. (Optional)

This "Cremation Registration and Declaration" Form will be kept on file with All Veterans Cremations & Funerals.
For any changes call 1-800-777-5670

Click here for printable version of this form

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