* Last Name * First Name Middle (Maiden) Name * Your E-mail address Sex Male Female Race Marital Status Single Married Divorced Widowed Other Surviving Spouse Date of Birth Birthplace Occupation/Industry Ever in Armed Forces Yes No Education (Highest Level) Street Address City Parish of Residence State of Residence Zip Code Residence in City Limits? Yes No Father's Name Father's Birthplace (City & State) Mother's Maiden Name Mother's Birthplace (City & State) Veteran Service # Branch of Service War(s) Served Date Entered Date Discharged Type of Discharge Flag on Casket Yes No Military Detail Yes No Church City Cemetery Location Preferred Service Type Burial Cremation Father Mother Husband Wife Maternal Grandparents Sons Daughters Brothers Sisters No. of Grandchildren No. of Great Grandchildren No. of Great Great Grandchildren Preceded in Death by Organizations Special Instructions I would like to Prefund (for Pre Need Only) Yes No Ask about our VA Benefit, Social Security Benefits, and Wayne County VA Fund. Helpful guide to information you may need: Advise a family member of the location of your life insurance policies. Make sure that your beneficiary information is up to date. If you are a veteran, your family will need a copy of your discharge papers to obtain a Flag, V.A. Memorial Plaque, and any benefits to a surviving spouse, if they should qualify. We assist families in the following areas: We will notify the Social Security Administration of death. Process all of the life insurance claims. Prepare and send obituaries to newspapers requested. Take the Death Certificate to the attending physician for completion and file in the appropriate city or county. These are items that are not included with funeral service: Clothing Flowers Cemetery Work - Once arrangements have been completed, the family must contact the cemetery office in order to obtain a permit. There is normally a fee for this permit. Clergy donation Music Certified Death Certificates Newspaper Obituary Fees Items to bring with you to funeral arrangements: Life Insurance Policies Clothing (long sleeves with collar) and undergarments Rosary (optional) Photo for Web-site, Obituary, Register Board and Prayer Cards Should you have any questions, please do not hesitate to call Uht Funeral Home at 734-721-8555.