Where friendship dwells and proves itself

Please don't hesitate to call us.
1-406-453-0315

1307 Central Ave
Great Falls, MT 59401
Fax: 1-406-453-0330
Email: mail@croxfordfuneralhome.com

Please don't hesitate to call us.
1-406-453-0315

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Use the form below to start completing necessary paperwork online. You do not have to complete all of it.

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Advance Funeral Planning Form

Step 1
Personal Information
Step 2
Family Information
Step 3
Work/Education History
Step 4
Military Record
Step 5
Funeral Service Request
Step 6
Disposition Request
Step 7
Summary Details

First Name*

Last Name*

Phone*

Email*

Street

City

State/Province

ZIP/Postcode

* indicates a required field

Date of Birth

SSN #

Place of Birth

Father's Name

Father's Place of Birth

Mother's Name

Mother's Maiden Name

Marital Status

Mother's Place of Birth

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Additional Family MembersPlease use the area above to enter the names of siblings, children and grandchildren.

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Education Level

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Occupation

Company Name

Business Field

Did you serve in the military?

YesNo

Branch of Service

Serial Number

Date Entered Service

Rank at Discharge

Date Discharged

Discharge on file at

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Do you have a copy of your discharge papers?

YesNo

Wars Fought In

Person in Charge

Address

Telephone

Place of Service

Telephone

Place of Visitation

Religious Denomination

Place of Worship

Lodge/Union/Assoc. Membership

Person in charge of final arrangements

I Prefer

Cemetery

Lot #(if applicable)

Section/Letter(if applicable)

Grave #(if applicable)

Address

Telephone

I have made a last will and testament

YesNo

Location of Will

Label

Additional instructions for us

Memorial requests or donations to charity

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First Name*

Last Name*

Email Address*

Telephone*

Zip*

* indicates a required field

Pre-Arrangement Details

Personal Information

Full Name

Street

City

State/Province

ZIP/Postcode

Telephone

Date of Birth

SSN #

Email Address

Place of Birth

Father's Name

Mother's Name

Mother's Maiden Name

Marital Status

Father's Place of Birth

Mother's Place of Birth

Spouse's Name

Place of Marriage

Spouse's Maiden Name

Date of Marriage

Additional Family MembersPlease use the area above to enter the names of siblings, children and grandchildren.

Work/Education History

Education Level

Grade SchoolHigh SchoolDegreeMasters DegreeDoctorate

Occupation

Company Name

Business Field

Military Record

Did you serve in the military?

YesNo

Branch of Service

Date Entered Service

Date Discharged

Serial Number

Rank at Discharge

Discharge on file at

Do you have a copy of your discharge papers?

YesNo

Wars Fought In

Person in Charge

Address

Telephone

Funeral Service Request

Place of Service

Telephone

Place of Visitation

Religious Denomination

Place of Worship

Lodge/Union/Assoc. Membership

Person in charge of final arrangements

Disposition Request

I Prefer

Cemetery

Lot #(if applicable)

Section/Letter(if applicable)

Grave #(if applicable)

Address

Telephone

I have made a last will and testament

YesNo

Location of Will

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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Where friendship dwells and proves itself

Where friendship dwells and proves itself

Please don't hesitate to call us.1-406-453-0315

Please don't hesitate to call us.1-406-453-0315

Start Planning

Ready to get started? Begin planning here.

New Section - add your content below

Need some extra help? Click here to request a free, no obligation consultation »

Personal Information

Work/Education History

Military Record

Funeral Service Request

Disposition Request

Summary Details

A year of daily grief support

Please don't hesitate to call us.
1-406-453-0315

Please don't hesitate to call us.
1-406-453-0315