Family Arrangement Form

  • Deceased Information

  • >

  • Informant Information

  • >

  • Survivor Information

  • >

  • Disposition

  • >

  • Funeral Service Information

521 East Main Street
Niles, MI, 49120

Tel: (269) 683-1155

Funeral Home Information
Name & Residence

Deceased Address

Place of Death
History

Birth Information

Ethnic Origin

Deceased Hispanic?

Education & Occupation

Education Information Required?

Occupation Information Required?

Father's Information

Father's Information Required

Mother's Information

Mother's Information Required

Marital Information
Military Status

Served in Armed Forces

Veteran Marker Box

Flag

Please wait