.   At-Need Arrangements Form | Rice Funeral Home | Worcester MA funeral home and cremation
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At-Need Arrangements Form

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At-Need Arrangements Form

We are very sorry for your loss and stand ready to assist you in your time of need. If you have not already scheduled a meeting with us, please call us.

If you prefer, you are welcome to send us information using the form below. We understand that you may not have access to all of the details below (or would prefer to provide in person). You are welcome to fill out as much or as little as you prefer. We will cover the remainder when we meet with you.

At a minimum please provide the deceased name and your contact information

Pre-Arrangement Details

Fields highlighted in yellow are required for the death certificate

* Fields with an asterisk are required to submit form

First Middle Last

Deceased Address


Personal Information

Please use the area above to enter the names of siblings, children and grandchildren.

Work/Education History


Military Record

If you do not, we may be able to locate these for you.

Person in Charge of Arrangements

You should receive a confirmation email shortly after submitting this form

Funeral Service Request



Disposition Request

(if applicable)
(if applicable)
(if applicable)

Summary Details

If the funeral home is not already aware of the passing of a deceased, please call 1-508-754-1673.

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