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: