On-line Pre-arrangement Form

Our Families Say:
Dear Paul and Staff - I just would like to thank you for your kindness that you gave to my husband John, during these sad times of losing both of his parents. The professionalism that you showed was outstanding but most of all your compassion and caring meant so much to us all.
Blessings & Prayers, Nancy & John Napoleon

Dear Paul and Staff - Jeff's passing was as much a shock for you, as for our family. Your kind, caring ways; your gentle guidance through those first few days after his death and ultimately through the calling hours and funeral - you never failed to be there when we needed you and continue to do so now. Our community is extremely fortunate to have you here to respond and assist families at such difficult times.
Joanne Fredenberg and Family

Paul and Staff - Thank you for all you did to make sure Harold was laid to rest with lots of love and dignity. I appreciate your kind, courteous and professional service.
Love, Dolores Leonard

Paul and Staff - Your compassion helped us deal with our loss, and your professionalism was unsurpassed in helping us plan his wake and service. It truly was a celebration of David's life.
Diane Blakley

Dear Paul & Staff - Thank you for your compassion, kindness and professionalism during our time of loss and sorrow. We appreciate everything you did for our family.
Sincerely
Troy & Scott Ashdown and family

Dear Paul and Staff - There are not enough words to thank you all. You are very special to me and I will never forget and will always be grateful to all of you.
Very Truly Yours
Kathy Napierkowski

Dear Paul and Staff - When you took our choices and put them into action (I am an OCD perfectionist) I could not have orchestrated the whole process better if I had directed it myself. You went above and beyond. It was phenomenal. I mean phenomenal!!!

"Personally, I think you have really answered your true calling in life, to help us deal with the death of a loved one."
Sincerely, Terry Vinning

Dear Paul,
Words cannot express how grateful my sister and I are for all you did for our father, Thomas Turck's, funeral. You and your staff were always professional, courteous and attentive to all of our requests. From the time that Joanne and I sat with you to discuss and finalize the details for the funeral, through the burial, you could not have made it easier for us, and your attention to detail was excellent. Our father would have appreciated all the military detail, including the Army insignia on the hearse and the presenting of the three flags at the cemetery.
Joanne and I both thank you!

Dear Paul and Staff - Kind, gentle, efficient, professional this is what you are. Sincere thanks for all that was done for Ella and our family.
In Sorrow, Paul Panesa

Dear Paul & Staff - We cannot begin to express our gratitude to you for all you did to make the passing of Mom easier for us to get through. Every aspect was perfect, from making the arrangements, to making mom beautiful, to decorating with mom's things, the funeral and graveside. We will never forget your kindness and compassion during a very difficult time in our lives.
Cindy and John Belsito

Dear Paul and Staff - Thank you!! Thank you!! For the manner in which you handled Tony's funeral. We were very pleased. God bless you!!
Love
Anne Greco & son Tony

Dear Paul & Staff - I wanted to thank you for all your help with my father, Howard Fox's funeral. We were so pleased with how everything was handled by you and your staff. Paul, I know that my niece really appreciated your guidance when she did the readings in church.
Sincerely
Evelyn Hopp

There are numerous benefits to pre-arranging a funeral, some of which include:

  • Provides peace of mind
  • Relieves your loved ones of unnecessary concern
  • Reflects your expressed wishes
  • Alleviates financial burden on your family

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

If you'd prefer, a printer-friendly version of this form is also available for you to download and fill out manually. CLICK HERE for further instructions and the download link, if interested.



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 the Person Completing this Form:

* First Name:
* Last Name:
Middle Name:
* E-mail:
Street Address:
City:
County:
State:
Zip Code:
Phone:
Person for Whom I Am Pre-arranging:

Vital Information about the Person for Whom Pre-arranging Is Being Done:

Last Name:
First Name:
Middle Name:
Sex:
Marital Status:
Social Security #:
Date of Birth: (ex. 1999)
Place of Birth:
Spouse's Full Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage: (ex. 1999)
Father's Full Name:
Mother's Name:
Mother's Maiden Name:

Work and Education:

Education:
Usual Occupation (most of life):
Kind of Business:
Company:

Military Records:

Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers: Yes     No
Name(s) of War(s)/Conflict(s) Toured:


Funeral Service Information:

Place of Service:
Name of Funeral Home:
Address:
Phone:
Place of Visitation:
I Prefer the Funeral Service To Be:
Viewing for Family: Yes    No
Viewing for Friends: Yes    No
Religious Denomination:
Place of Worship:
Lodge / Union:

Person(s) to Finalize Arrangements at Time of Death:

Check here and skip this section if the person filling out
this online form is also the person making the final arrangements.
 
Full Name:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Special Instructions:

Flower Preference:
Music
Casket Bearers (x6):
Jewelry:
Glasses:
Clothing:
Other:

Disposition Options:

I Prefer:
Cemetery:
Address:
Phone:
Section:
I Have Made A Last Will And Testament: Yes    No

Other Information & Instructions:

Please list any other instruction or information you would like us to have:


Memorials & Charities:

Please list any memorials or donations to charity that you would like to declare:


Options:

Please select one of the options below:
Send Information About Pre-arrangement
Contact Me To Set An Appointment
Please Keep My Information On File




Pre-arrangement Form - Printer-friendly Version:

You can download the printer-friendly version of the Pre-arrangement form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then print it out on your printer. You may then either mail or fax it to us at the address or fax number below, or bring it with you when you visit.

»   CLICK HERE to download the form - choose to, 'Save to Disk,' in the dialog box that appears (download times will vary depending upon connection.)

Get Adobe Acrobat Reader* NOTE: Adobe Acrobat Reader software is required to view this file - if you don't already have the Reader installed on your computer, it is available for free from Adobe's website - please click the icon at right to be taken to the download page.

Mail completed forms to the following address:

Simpson-Gaus Funeral Home
411 Albany Ave.
Kingston, NY 12401

Please call with any questions: 845-331-0631


 

 

 

Simpson-Gaus Funeral Home
Serving Families Since 1953
Infinite Menus, Copyright 2006, OpenCube Inc. All Rights Reserved.
young woman kissing older woman on the cheek
Pre-funding funerals is a growing trend in America because of the peace of mind that comes from having one's affairs in order.