ABOUT US
OBITUARIES
SERVICES
PLAN AHEAD
GRIEF SUPPORT
RESOURCES

SIMPLE DIGNIGIED CREMATION - $1695

SIMPLE DIGNIFIED CREMATION - $1995

ABOUT US
OBITUARIES
SERVICES
PLAN AHEAD
GRIEF SUPPORT
RESOURCES

PREPLANNING FORM

Online Preplanning Form

After submitting the form below, please visit our Downloadable Forms page to download/print the required paperwork.

Online Preplanning Form

Free Text

Personal Information

First Name

Middle Name

Last Name

Address

City

State/Province

ZIP/Postcode

Phone Number

Email Address

Date of Birth

Place of Birth

Social Security Number

Free Text

Family Information

Father's Name

Father's Place of Birth

Mother's Name

Mother's Place of Birth

Mother's Maiden Name

Marital Status

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Additional Family Members

Free Text

Education History

Highest Level of Education

Grade School

High School

Degree

Masters Degree

Doctorate

School Name(s)

School Location(s)

Free Text

Work History

Occupation

Company Name

Years At Company

Business Field

Free Text

Military Record

Did you serve in the military?

Yes

No

Branch of Service

Serial Number

Date Entered Service

Rank at Discharge

Date Discharged

Discharge on file at

Do you have a copy of your discharge papers?

Yes

No

Wars fought in

Person in Charge

Person in Charge Address

Person in Charge Telephone

Free Text

Funeral Service Request

Place of Service

Funeral Home

Church

Cemetery

Place of Service Telephone

Place of Visitation

Religious Denomination

Place of Worship

Lodge/Union/Assoc. Membership

Person in charge of final arrangements

Free Text

Disposition Request

I Prefer

Earth Burial

Mausoleum

Cremation

Other

Cemetery

Lot Number

Section/Letter

Grave Number

Cemetery Address

Cemetery Telephone

I have made a last will and testament

Yes

No

Location of Will

Free Text

Summary Details

Additional instructions for us

Memorial requests or donations to charity

Please select from one of the options below:

Send me information about pre-arrangements

Contact me to set up an appointment

No appointment needed just keep my request and information on file

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Address:

1803 Centre St.

West Roxbury, MA 02132

Phone: 617-323-5600

Email: info@lawlerfuneralhome.com

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© Robert J. Lawler & Crosby Funeral Home & Cremation Service. All Rights Reserved.

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