Arrangement Information

This form is for families to fill out remotely while working with our staff to make arrangements. The information provided here will be used to create the death certificate and help write the obituary. Your information provided here is securely stored and private with our funeral home.

If you have any questions or need help filling out any section below please call us at 330-633-3350 and we will walk you through them.

Notice as of 6/4/2020

Per Ohio Governor Mike DeWine's orders, funeral services are exempt from mass gathering rule but still encouraged to practice safe social distancing and health precautions.
Arrangement Information

Personal Information of Deceased


If unknown leave blank

Deceased's Address


If unmarried or divorced leave blank
If unmarried or divorced leave blank
If unmarried or divorced leave blank
If unmarried or divorced leave blank

Service Information


Notice as of 6/4/2020

Per Ohio Governor Mike DeWine's orders, funeral services are exempt from mass gathering rule but still encouraged to practice safe social distancing and health precautions.
Request not guaranteed but will work to accomodate
Request not guaranteed but will work to accomodate

Obituary Information


Format as: John (Jane) Doe of Tallmadge, OH
Format as: John (Jane) Doe of Tallmadge, OH

Personal Information of Person Legally Responsible for Disposition


Via Phone

In this section

Arrangement Information

Cremation Authorization

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