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COVID-19 Information

At-Need Arrangement Form


At-Need Arrangement Form

Providing At-Need Funeral Services

Use our Online At-Need Form to establish immediate funeral planning needs. Note that this is not a payment form, but a registration form to get you started with At-Need services. 

We value the privacy of our visitors, Our Privacy Policies can be found here.

Arrangement Information

Personal Information of Deceased

Next of Kin Personal Information

Disposition Request

Work/Education

Military Record

Religious Denomination

Additional Family Members

Items to Bring to Your Appointment

  • Clothing (If Applicable)
  • Picture for website/obituary (Could be emailed to garzamemorialfh@gmail.com)
  • Life Insurance/Pre-Arrangement Contract
  • Honorable Discharge Papers (DD214)

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