Preplanning your funeral or that of a loved one gives you peace of mind and reassurance. We hope that you will freely utilize this online form in the
privacy of your home.

This completed form can be either: printed for your own records and/or Sent to either of our funeral homes to be placed on file.

All information will remain confidential and would only be used at the time of need to aid in the completion of a legal death certificate and obituary.

Completeing this form is a responsible decision for you and your family.
Prepaying is not a requirement to preplanning your wishes.

Your Name
Your Maiden Name
Your Street Address:

Your Place of Birth

Your Marital Status:

Name of Parents

Names of Children


Names of Brothers and Sisters



For Veterans

Date of Enlistment
Date of Discharge
Place of Discharge
Rank
Branch of Service
Commendations received


Religious Affiliation
Clergyman or Anyone else you would like to officiate:
Professional and Fraternal Organizations



Education



Organ Donations

Organ Donor Yes No
Eye Donor Yes No
Anatomical Donation Yes No


Cemetery

Name and Location of cemetery property (include lot and grave number)

Cremation Yes No


We will be willing to meet with you at our Fulton or Oswego locations, or in the privacy of your home.

Sugar Funeral Home Inc. ........... Sugar and Scanlon Funeral Home
....................Fulton .........................................................Oswego

Please send further information on pre-planning.
There is no obligation on my part and no representative will call me.

Please check IF you want a representative to call.
My phone number is



Send to:

............ .. . . . ....


 

There is additional information that would be necessary to complete a pre-need or at need arrangements, but due to identity theft we feel that the following facts should NOT be included in our internet form:
 
*Social Security Number
*Date of Birth
*Mothers Maiden Name
*Veterans Service Number/Serial Number.
*Copy of Veterans Honorable Discharge Papers DD214
*Copy of ID or Picture ID
*Copy of Power of Attorney

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