Please take a few minutes to fill out the Online Pre-arrangement form below. Once the information is submitted, a Brandywine Valley Funeral Care representative will review and file it and will be in touch with you to further discuss the details of your arrangements.

You may also download the form to fill out and bring to our Wilmington, DE funeral home location.

NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

Information about Person Completing Form

Address


Information about the Person for Whom Pre-planning Is Being Done

Sex

Marital Status


Work and Education


Military Records

Is a copy of the discharge papers available?


Funeral Service Information

Funeral Home Address

I Prefer the Funeral Service To Be

Viewing for Family

Viewing for Friends


Person(s) to Finalize Arrangements at Time of Death

Is the person filling out this online form also the person making the final arrangements? If yes, skip this section.

Address


Special Instructions


Disposition Options

Cemetery Address

I have made a Last Will and Testament


Other Information & Instructions


Memorials & Charities


Options

Please select one of the following options: