Pre-Planning Form in Medina, OH | Waite Funeral Homes

Planning ahead is a way to make your wishes known and to care for the people you love by easing the decisions they would otherwise have to make during a difficult time.

This form is a simple place to begin. You can complete as much or as little as you’d like and there’s no need to have everything figured out today. We’ll gently guide you through anything that remains and follow up to help you complete your plan when you’re ready. You can always update your plan as life changes.

If you have questions or would prefer to talk things through, we’re here for you. You can reach out at any time, and we’ll walk through it together.

Step 1 - Personal Information

Who is this plan for?

First Name*

Middle Name

Last Name*

If these plans are for someone other than yourself, please include the email address and phone number for the person in charge of making arrangements.

Email Address*

Phone Number*

Step 2 - Family Information

Marital Status

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Father's Name

Father's Address

Mother's Name

Mother's Address

Additional Family (Living)

Additional Family (Deceased)

Step 3 - Work & Education History

School Name

Highest Level of Education

School Location

Occupation

Company Name

Years at Company

Did this person serve in the military?
Yes
No

Step 4 - Service Preferences

Visitation Options

Funeral Service Options

Reception

Burial or Cremation?

Final Disposition

Include Graveside/Committal Service

Additional Service Preferences

Online Pre-Planning Form