Loading...

Online At-Need Form


CARING PEOPLE CARING FOR YOU




Thanks for taking the time to fill out our At-need Planning Form. By completing the following information at your own convenience, you should find it easier to provide correct information and have some time to think about the type of services you desire.

The information provided on this form will help Autumn Funerals complete the death certificate and other required documents. In addition, this information will assist the funeral director to better understand your initial wishes. Relaying required statistical information can be time consuming. Our desire is to help expedite the final arrangement conference at the funeral home and make the process a little more comfortable.

Please complete (as much as possible) the information on the form and select Submit Information at the end to send the information to us. You may also print out the form and bring it with you to the arrangement conference or fax.

If you'd prefer, a printer-friendly version of this form is also available for you to download and fill out manually.

If you have any questions whatsoever, please contact Autumn Funerals at any one of our locations.



NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.



 


 

Deceased Vital Statistics for Death Certificate


 
 







 


 

Type of Disposition


 

Preparation and Viewing Important Note: Viewing of the body is a choice of the family. In most cases, embalming is required or recommended for public viewing/visitation, mausoleum entombment, or transfer of remains via common carrier (i.e. shipment by air or rail). When possible, the funeral home needs authorization from the next of kin for embalming. Except in certain cases, embalming is not required by law. Embalming may be necessary, however, if you select certain funeral arrangements, such as a funeral with viewing. If you do not want embalming, you usually have the right to choose an arrangement, which does not require you to pay for it, such as a direct cremation, immediate burial and/or one-time ID viewing for family only. If you elect NOT to order embalming, State law requires refrigeration of an unembalmed body that is held for over 24 hours from the time of death.

 



 


 

Veteran Information





 


 

Informant/Person In Charge Information


 
 
 

 


 

Funeral/Memorial Service Information:




 



At-Need Planning Form - Printer-Friendly Version

You can download the printer-friendly version of the At-Need Planning Form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then print it out on your printer. You may then choose to mail it to us at one of our locations, fax to the number below, or bring it with you when you visit.


CLICK HERE to download the form



* NOTE: Adobe Acrobat Reader software is required to view this file - if you don't already have the Reader installed on your computer, it is available for free from Adobe's website - please click the icon at right to be taken to the download page.



Mail completed forms to one of our locations, or fax them to: (763) 710-3922

Autumn Funerals
61555 Parrel Road
Bend, OR 97701

Please call with any questions: (541) 318-0842


Online Obituaries
Find recent or historic obituaries and services
with our online obituary system.

View All Obituaries

 


 

 


 


Request Your
Free Planning Guide

Bend Location

63875 N Highway 97, Bend, OR 97703

Phone: (541) 318-0842 | Fax: (541) 382-3613

Redmond Location

485 NW Larch Ave., Redmond, OR 97756

Phone: (541) 504-9485


© Autumn Funerals
Crafted with care by Frazer Consultants & TA