On-line At Need Form

Thanks for taking the time to fill out our Immediate Need Form. By completing the following information at your own convenience, you should find it easier to provide correct information and have some time to think about the type of services you desire.

PLEASE NOTE: While the information submitted with this form does in fact reach one of our caring professionals here at Semian's, please keep in mind that this form should be used once you have talked to one of our funeral directors first.

The information provided on this form will help Semian Funeral Home complete the death certificate and other required documents. In addition, this information will assist the funeral director to better understand your initial wishes. Relaying required statistical information can be time consuming. Our desire is to help expedite the final arrangement conference at the funeral home and make the process a little more comfortable.

Please complete (as much as possible) the information on the form and select Submit Information at the end to send the information to us. You may also print out the form and bring it with you to the arrangement conference or fax.

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.

If you have any questions whatsoever, please contact Semian Funeral Home at: 570-562-3530