Obituaries
About Us
Services
Planning Ahead
Grief Support
Resources

Get in touch

Batavia: (585) 343-8868 Bergen: (585) 494-1210

Burdett & Sanford: (585) 948-5325 Bohm-Calarco-Smith: (585) 343-5673

OBITUARIES
SEND FLOWERS

Batavia – (585) 343-8868 | Bergen – (585) 494-1210 | Burdett & Sanford – (585) 948-5325 | Bohm-Calarco-Smith – (585) 343-5673

Obituaries
About Us
Services
Planning Ahead
Grief Support
Resources

Online PrePlanning Form

Online Preplanning Form

Free Text

Personal Information

Who is this plan for?

First Name

Middle Name

Last Name

Free Text

About You

Email Address

Phone Number

Free Text

Family, Work, & Education

Free Text

Family Information

Father's Name

Father's Address

Mother's Name

Mother's Address

Marital Status

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Free Text

Additional Family Members

Siblings (alive)

Siblings (deceased)

Children (alive)

Children (deceased)

Grandchildren (alive)

Grandchildren (deceased)

Great-Grandchildren (alive)

Great-Grandchildren (deceased)

Free Text

Education History

School Name

Highest Level of Education

School Location

Free Text

Work History

Occupation

Company Name

Years At Company

Did this person serve in the military?

Yes

No

Free Text

Your Wishes

Visitation Options

Visitation at funeral home checkbox

Visitation elsewhere checkbox

No Visitation checkbox

Funeral Service Option

Funeral service at funeral home checkbox

Funeral service elsewhere checkbox

No Funeral Service checkbox

Reception Options

Reception at funeral home checkbox

Reception elsewhere checkbox

No Reception checkbox

Would you prefer burial or cremation?

Burial

Cremation

Final Disposition

Ground Interment (burial) checkbox

Mausoleum Entombment (above ground burial) checkbox

Columbarium (for cremation urns) checkbox

Ashes returned to family checkbox

Would you prefer to include a graveside/committal service?

Yes

No

Free Text

Your Preferences

Please list any musical selections you would like to include in your services.

Please list any special themes you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any specific foods or beverages you would like to make available to your family and guests at the services.

Please list any interests or hobbies you would like to include into your services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

Please Answer the following math Question.

How would you like to be contacted?

Email

Phone Call

Do Not Contact

Thank you for contacting us.
We will get back to you as soon as possible.

Oops, there was an error sending your message.
Please try again later.

A Year of Grief Support

Sign up for one year of weekly grief messages designed to provide strength and comfort during this challenging time.

Privacy Policy | Terms of Use | Admin Login

Share by: