One of the most loving, caring things that an individual can do is to leave behind details and information in regards to pre-planning. There are two ways to pre-plan. You may provide your funeral director with obituary information, vital statistic information and details on your wishes as to services and burial or cremation. The second step, if you wish, would be to pay for these arrangements in advance.

Many people pre-pay for their funeral when they are going on Medicaid assistance. If a person enters a nursing home, their assets may be drained by nursing care. Medicaid will pay for care if this happens and they will allow a person to place money for funeral expenses in a trust account just prior to their assets being depleted (or earlier if you wish). Medicaid will allow the funeral trust account to remain intact even after a person goes on Medicaid assistance. The trust will be there to pay for final expenses.

Others pre-pay their funeral for peace of mind, knowing that everything is taken care of. They want to relieve their family of any financial burden.

We offer guaranteed price agreements. This means that you may pay for your funeral at today's price and your family will not have to pay more at the time of your death. The money is placed in a trust, drawing interest to offset inflation.

There are some important questions to ask when you are contemplating pre-paying:
1. How much do I get back if I decide to cancel my pre-arrangement?
2. Does the funeral home charge a seller's commission?

If you are ready to begin the pre-planning process, give us a
call anytime at 231-861-2360 or 1-888-216-9744 or fill in, print and mail the form below.

Print this form and mail it to:
Harris Funeral Home
267 N. Michigan Avenue
Shelby, MI 49455

Personal Information
Name
(First MI Last):
Marital Status:  
Date of Birth: Place Of Birth:
Address:
City: State:
County: Zip:
Phone: E-mail:
Spouse's Name: Spouse's Maiden Name:
Place of
Marriage:		 Date of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:
Person in Charge:
Address:
Phone:

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

Military Record
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:

Funeral Service Request
Place Of Service:
Funeral Home:
Address: Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:


Newspaper Information (Please list family members)

Children:
Brothers/Sisters:
Number of Grandchildren:
List any other significant relatives:

Special Instructions
Lodges and Organizations:
Jewelry:
Glasses:
Lodge / Union:
Person in Charge of Final Arrangements:
Clothing Preference: My own Other

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

Other Instructions

Memorials/Donations To Charity

Please check all that apply:
Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file

Print this form and mail it to:
Harris Funeral Home
267 N. Michigan Avenue
Shelby, MI 49455