D.O. McComb & Sons Funeral Homes - Seven Convenient Locations in Fort Wayne, Indiana and One in Auburn, Indiana - funerals, cremations, caskets, vaults, urns, and cemetery monuments

Pre-Planning Benefits

couple (28K)

There are many important reasons for prearranging a funeral. Not only does pre-planning ensure all your special preferences are met, but it helps make the funeral process run more smoothly for your loved ones. We also offer a wide variety of cost protection plans for those who want everything taken care of in advance. Our plans also protect your funds from Medicaid and Nursing home spend down situations. Start today by completing the personal information questionnaire below.


Last Name:
First Name:
Middle Name:
E-mail:
Address:
City:
County:
State:
Zip Code:
Phone:


Marital Status:		Social Security#:
Date of Birth:		Place Of Birth:
Spouse's Name:		Spouse's Maiden Name:
Place of Marriage:		Date of Marriage:
Father's Name:		Mother's Name:
Mother's Maiden Name:


Education (0-12):
College 1-5+:
Occupation:
Business:
Company:


Branch of Service:		Serial Number:
Date Enlisted:		Rank At Discharge:
Date Discharged:		Discharge On File At:
Copy of Discharge Papers: Yes No
Name Of Wars:


Place Of Service:
Funeral Home:
Address:
Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Lodge / Union:
Person in Charge of Final Arrangements:


Flower Preference:
Music
Casket Bearers (6):
Jewelry:
Glasses:
Clothing:
Other:


I Prefer:
Cemetery:
Address:
Phone:
Section:
Location:
I have made a last will and testament: Yes No


Please list any other instructions you may have:


Please list any Memorials or Donations to Charity that you would like:

Please select one of the options below:

Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file