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About
Our Staff
Our Locations
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The Little Details
Reviews of Storke Funeral Home
History
Cremation Education
Planning
When a Death Has Occurred
Planning Ahead
Payment Policy
Family Planning Guide
Vital Information Worksheet
Burial Options
Burial Services
Burial Caskets
Burial Vaults
Fingerprint Keepsakes
General Price List
Cremation Options
Cremation Services
Cremation Caskets
Cremation Urns
Cremation Jewelry
Fingerprint Keepsakes
General Price List
Special Services
The Alma Mae Storke Fund
Funeral Catered Receptions
Disinterment
Dove Release
Floral Legacy Program
Holiday Remembrance Illumination
Horse Drawn Carriages
Resources
Arlington National Cemetery
Cemetery Information
DMV
Federal Employee Benefits
Federal Employee Life Insurance Claims
Grave Locator
Guide to Manage Sympathy Gifts
Social Security
Obituaries
Veterans
Arlington Burials
Military Honors
Veteran Death Benefits
Search for:
About
Our Staff
Our Locations
The Storke Difference
The Little Details
Reviews of Storke Funeral Home
History
Cremation Education
Planning
When a Death Has Occured
Planning Ahead
Payment Policy
Family Planning Guide
Vital Information Worksheet
Burial Options
Burial Services
Burial Caskets
Burial Vaults
Fingerprint Keepsakes
General Price List
Cremation Options
Cremation Services
Cremation Caskets
Cremation Urns
Cremation Jewelry
Fingerprint Keepsakes
General Price List
Special Services
Alma Mae Storke
Funeral Catered Receptions
Disinterment
Dove Release
Floral Legacy Program
Holiday Remembrance Illumination
Horse Drawn Carriages
Resources
Arlington National Cemetery
Cemetery Information
DMV
Federal Employee Benefits
Federal Employee Life Insurance Claims
Grave Locator
Guide to Manage Sympathy Gifts
Social Security
Obituaries
Veterans
Arlington Burials
Military Honors
Veteran Death Benefits
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About
Our Staff
Our Locations
History
The Storke Difference
The Little Details
Reviews of Storke Funeral Home
Obituaries
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When a Death Has Occurred
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Payment Policy
Funeral Planning Worksheet
Burial Options
Burial Services
Burial Caskets
Burial Vaults
Fingerprint Keepsakes
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Cremation Caskets Old
Cremation Urns
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Funeral Cremation Reception
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Horse Drawn Carriages
Resources
Arlington National Cemetery
Cemetery Information
DMV
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Federal Employee Life Insurance Claims
Grave Locator
Guide to Manage Sympathy Gifts
Social Security
Veterans
Arlington Burials
Military Honors
Veteran Death Benefits
Funeral Planning Worksheet
Planning Worksheet
amallory
2018-10-06T06:33:32-04:00
Name:
Age:
Address
City-Town:
State/Zip:
County:
Sex:
Male
Female
Race-Ethnicity:
Citizen
USA
Birthplace
Date of Birth
Father's Name
Mother's Name
Marital Status
Surviving Spouse
Employment Status
Presently Employed
Not Employed
Retired
If Retired Enter Year
Usual Occupation
Kind of Business
Employer
No. of Years
Highest Education
Veteran
No
Yes
Branch of Service
Rank
Service Dates
Informants Name (if you're doing this for someone else)
Informant's Address
Informant's Phone Number
Relationship
Email address
(required)
Length of time living in this area
Moved from
Religion
Church
Member
Attended
Non Member
Church/Synagogue
City
Clubs, Organizations, Other Information
Preceded in Death by (Spouse's Name)
Year
Spouse
Parent(s)
No. of Children
Child or Childrens Name(s)
No. of Sisters
No. of Brothers
Siblings Names
No. of Grandchildren
No. of Great Grandchildren
Other Survivors
Visitation
Casket Open
For Family & Friends
No Viewing for Anyone
Family Only
Special Setup
Catholic
Other
Funeral Services
Service
Traditional Funeral
Mass
Graveside Service
Memorial Service
Day-Date
Hours
Place
Clergy
Music
Standard
Special Selections
Selections
Organist
Soloist
Family will sit in
Family Room
Chapel
When will casket be closed?
Jewelry, etc. to remove for Family
Pallbearers
Professional (Funeral Home Staff)
Selected by Family
Contact
We Notify
Family Notifies
Family Notifies
Honorary Pallbearers
Escorts
Names
Committal Service
Immediately Following
Flowers Accepted
Yes
No
In lieu of flowers, memorials to:
Final Disposition
Interment
Entombment
Cremation
Day - Date
Hour
Cemetery
City - Town
State/Zip
County
Grave No.
Lot No.
Section
Block
Lot Owner
Lot Purchased
Pre-Need
Burial Casket Selected
-Select-
Classic Gold
Primrose Bronze
Golden Sienna
Aegean Bronze
Tapestry Rose
Jefferson Silver
Greyson
Renaissance Rose
Anthem Silver
Golden Sand
Silver Sapphire
Blue Mist
Chancellor
Pembroke
Provincial
Pearson
Barkley
Laurel
Landon
Woodhaven
Trenton
Clarion
Doeskin
Golden Midnight
Tuscany Silver
Ocean Blue
Misty Rose
Pegasus
Earthtone
Triton Brown
(Click here to see choices)
Cremation Casket with Container Selected
-Select-
Shaker/Meadow Green
Shaker/Ashen Pewter
Shaker/Monterey Maple
Shaker/Franklin Cherry
Stratus/Meadow Green
Stratus/Ashen Pewter
Stratus/Monterey Maple
Stratus/Franklin Cherry
Minimum/Slate Gray
Minimum/Honey Brown Hardwood
Brighton/Royal Blue Cloisonne
Brighton/Bronze Dogwood Chest
Brighton/Bronze Regal Polo Green
Brighton/Walnut Memento
Brighton/Traditional Hardwood
Brighton/Marble Cameo Bell Jar
Taylor/Royal Blue Cloisonne
Taylor/Bronze Dogwood Chest
Taylor/Bronze Regal Polo Green
Taylor/Walnut Memento
Taylor/Traditional Hardwood
Taylor/Marble Cameo Bell Jar
Pacific/Royal Blue Cloisonne
Pacific/Bronze Dogwood Chest
Pacific/Bronze Regal Polo Green
Pacific/Walnut Memento
Pacific/Traditional Hardwood
Pacific/Marble Cameo Bell Jar
Sawyer/Bradbury Hardwood
Sawyer/Dragonfly Oak Chest
Sawyer/Continuum Cherry Mantle Clock
Sawyer/Dusty Rose Cloisonne
Clifton/Bradbury Hardwood
Clifton/Dragonfly Oak Chest
Clifton/Continuum Cherry Mantle Clock
Clifton/Dusty Rose Cloisonne
Newport/Bradbury Hardwood
Newport/Dragonfly Oak Chest
Newport/Continuum Cherry Mantle Clock
Newport/Dusty Rose Cloisonne
(Click here to see choices)
Burial Vault Selected
-Select-
Concrete Grave Box
Titan
Tiara
Patrician
Athenian
Lydian
Roman
(Click here to see choices)
Cremation Urn Selected
-Select-
Slate Gray -Laminated Particle
Meadow Green
Monterey Maple
Honey Brown Hardwood
Ashen Pewter
Franklin Cherry
Royal Blue Cloisonne
Bronze Dogwood Chest
Bronze Regal Polo Green
Walnut Memento
Traditional Hardwood
Marble Cameo Bell Jar
Bradbury Hardwood
Dragonfly Oak Chest
Continuum Cherry Mantle Clock
Dusty Rose Cloisonne
(Click here to see choices)
Additional Information
Newspaper Notices in:
Flowers to order
Hairstyling
Jewelry
Glasses
Clothing
How Many Certified Copies of Death Certificate Needed?
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