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Obituaries
& Tributes
(214) 350-9951
Immediate Need

9700 Webb Chapel Rd.
DALLAS, TX 75220
(214) 350-9951
Click here for Maps & Directions

9700 Webb Chapel Rd.
DALLAS, TX 75220
(214) 350-9951
Click here for Maps & Directions

Daily Grief Support by Email

Grieving doesn't always end with the funeral: subscribe to our daily grief support email, designed to help you a little bit every day, by filling out the form below.

I. Biographical Information
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:
II. Military Record
Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:
III. Service Preferences
Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file

Proudly Serving the Communities of DFW Metroplex, Dallas, Plano, Irving, Carrollton, Farmers Branch, Garland, Flower Mound, Coppell, Grand Prairie, Hurst, Euless, Bedford, Fort Worth, Ft Worth, Denton, McKinney, Duncanville, Cedar Hill, Lancaster, DeSoto, Wilmer, and Lewisville
(214) 350-9951 9700 Webb Chapel Rd. | DALLAS, TX 75220 | Fax: (214) 357-6824 | Email: dewayne@hughescrownhill.com