Arrangements

There are numerous benefits to pre-arranging a funeral, some of which include:

  • Provides peace of mind
  • Relieves your loved ones of unnecessary concern
  • Reflects your expressed wishes
  • Alleviates financial burden on your family

Please take a few minutes to fill out the Online Pre-arrangement form below. Once the information is submitted, a Howell Funeral Homes, P.A.. representative will review and file it and will be in touch with you to further discuss the details of your arrangements.

If you’d prefer, a printer-friendly version of this form is also available for you to download and fill out manually. CLICK HERE for further instructions and the download link, if interested.
NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence – we do not release any information to outside parties under any circumstances.

Information About the Person Completing this Form:
* First Name:
* Last Name:
Middle Name:
* E-mail:
Street Address:
City:
County:
State:
Zip Code:
Phone:
Person for Whom I Am Pre-arranging:

Vital Information About the Person for Whom Pre-arranging Is Being Done:
Last Name:
First Name:
Middle Name:
Sex:
Marital Status:
Social Security #:
Date of Birth: (ex. 1999)
Place of Birth:
Spouse’s Full Name:
Spouse’s Maiden Name:
Place of Marriage:
Date of Marriage: (ex. 1999)
Father’s Full Name:
Mother’s Name:
Mother’s Maiden Name:

Work and Education:
Education:
Usual Occupation (most of life):
Kind of Business:
Company:

Military Records:
Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers: Yes

No
Name(s) of War(s)/Conflict(s) Toured:

Funeral Service Information:
Place of Service:
Name of Funeral Home:
Address:
Phone:
Place of Visitation:
I Prefer the Funeral Service To Be:
Viewing for Family: Yes

No
Viewing for Friends: Yes

No
Religious Denomination:
Place of Worship:
Lodge / Union:

Person(s) To Finalize Arrangements At Time of Death:
Check here and skip this section if the person filling out

this online form is also the person making the final arrangements.
Full Name:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Special Instructions:
Flower Preference:
Music
Casket Bearers (x6):
Jewelry:
Glasses:
Clothing:
Other:

Disposition Options:
I Prefer:
Cemetery:
Address:
Phone:
Section:
I Have Made A Last Will And Testament: Yes

No


Other Information & Instructions:
Please list any other instruction or information you would like us to have:

Memorials & Charities:
Please list any memorials or donations to charity that you would like to declare:

Options:
Please select one of the options below:
Send Information About Pre-arrangement
Contact Me To Set An Appointment
Please Keep My Information On File