Pre-Arrangements Form | Rice Funeral Home | Worcester MA funeral home and cremation
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Pre-Arrangements Form

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Download Printable Pre-Arrangements Form

As an alternative to entering the information online

Use this form to provide us with as much or as little detail as you wish.  At a minimum, provide us with your name,  telephone number and email address and tell us how you'd like us to work with you on the remaining information using the options at the base of the form.

Pre-Arrangement Details

Fields highlighted in yellow are required for the death certificate

* Fields with an asterisk are required to submit form.  The SUBMIT button is located at the bottom of the form.

Personal Information

Please enter city and state or province, or city and country if outside U.S.

Additional Family Members - Please list town, state or country of residence if you would like this included in the obituary

You can list names or just a number of each

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

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