site image



Use this form to provide us with as much or as little detail as you wish.  At a minimum, provide us with your name and telephone number and tell us how you'd like us to work with you on the remaining information using the options at the base of the form. 

Upon submission of the form below, you will be directed to our PDF Forms page to download/print the required paperwork.

Arrangement Details

Personal Information

Please use the area above to enter the names of siblings, children and grandchildren.

Work/Education History

Military Record

Funeral Service Request

Disposition Request

(if applicable)
(if applicable)
(if applicable)

Summary Details

© 2019 Robert J. Lawler & Crosby Funeral Home. All Rights Reserved. Funeral Home website by CFS