Nelson Frazier Funeral Home  logo

(606) 285-5155 - Martin KY
(606) 785-9808 - Hindman KY

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Pre-Need Funeral Planning

Pre-arranging a Funeral

Pre-Need Funeral Planning or pre-arrangement is a thoughtful method of funeral planning. Some people do this with the sincere desire to avoid being a burden on their families. Others like the idea of “having taken care of everything”, yet others may have no one else who can make these arrangements for them. Most extended care facilities will recommend that some type of funeral planning be made when a client enters their facility. Pre-Planning does not necessarily mean pre-funding.

However, for those that desire pre-funding, several options are available, all of which are regulated by the State of Kentucky. This allows you to arrange the type of service you prefer and be assured of adequate funds for the future payment of service.

Why Pre-Plan?

Facing the Future

  • Peace of mind today for you and your family
  • Relieve emotional and financial stress for your loved ones
  • Prepare clear directives for your final arrangements

Making the Right Decisions for You

  • You evaluate all options available
  • You select the funeral service you want
  • Your choices will be honored

Paying for Your Choices Today

  • Fund your funeral expenses at today's prices
  • Protect against inflationary price increases
  • Exempt assets for Medicaid and Social Security eligibility

Preplanning On-Line

Complete the entire form, or complete just the first few lines, and we will contact you for additional information.

Personal Information

First Name:

Middle Name:

Last Name:

Telephone Number:

E-Mail Address:

Address:

Town/City:

State:

Zip Code:

Date of Birth:

Place of Birth:
(city & state or county & state)

Marital Status:

Spouses Name:
(Maiden name & full name of wife or husband)

Occupation:
(for longest period during working life)

Father's Full Name:

Mother's Full Name:
(include her maiden name)

Person who will be in charge of funeral arrangements:

Name:

Address:

Town/City:

State:

Zip Code:

Telephone Number:

Military Information

Branch of Service:

Description of Service:
(Wars fought in, medals earned, military campaigns)

Veteran's Service Number:

Rank:

Location of Discharge Papers:

Family Members

Spouse:
(Addresses and phone numbers)

Daughters:
(Hometowns and phone numbers)

Sons:
(Hometowns and phone numbers)

Grandchildren:
(Hometowns and phone numbers)

Sisters:
(Hometowns and phone numbers)

Brothers:
(Hometowns and phone numbers)

Other Relatives:
(List relation, hometowns, and phone numbers)

My Funeral Service Preferences

Place of Service:

Funeral Home

Church

Graveside

Other

Clergy:
(Minister's hometown and phone number)

Type of Disposition:

Burial

Entombment

Cremation

Other

Cemetery Property Owned:

Yes

No

Name of Cemetery:
(Include: Location of Cemetery, City, & State)

Cemetery Preference:
(If property not owned, include location of cemetery, city & state)

Music Selections:
(Organ or piano background, live vocal, or recorded music)
(If live vocal, include the vocalist, and their phone number)

Pallbearers or Honorary Pallbearers:
(Include pallbearers hometown, home phone number, and bearer type designation)
(A = Active Bearer, H = Honorary Bearer)

Lodge, Society, Fraternal Organization:
(List involvement and if you would like an honor guard)

Flowers:

Memorial Contributions / Donations:

Obituary Information:
(List education and place of schooling, wedding date and place, work history and places I lived and worked, Clubs, Lodges, Hobbies, what I liked doing, significant accomplishments, Boards, Committees and community and Church involvement, etc.)

Information or Special Instructions:
(Not Previously Listed)

Please check as many as apply.

Please contact me so that I may select my casket and vault in advance.

Please forward me a copy of my information for my records.

Please contact me if any of my submitted information needs clarification.

File my information for future reference at Nelson-Frazier Funeral Home, but please do not contact me.

I would like to discuss my pre-payment options with no obligation, please contact me.

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Nelson-Frazier | Martin, KY
(606) 285-5155

7 Clinic Dr.
Martin, KY 41649

Nelson-Frazier | Hindman, KY
(606) 785-9808

125 Parks Branch Road
PO Box 537
Hindman, KY 41822


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