Newton-Bracewell

NBCFH

Plan Ahead

~ Today, we'll help you think about the memories. ~

~ Tomorrow, we'll help you think about the future. ~

Introducing our Family Service Counselor, Amy Hawes

As the Family Service Counselor at Newton-Bracewell Chico Funeral Home, I look forward to assisting you where I can. Feel free to call me at (530) 342-9003.

Family Service Counseling is our program -- provided to you at no cost -- to help you through the economic changes of the next few weeks, and the emotional changes of the next few months.

Economic
I will first help you by answering questions you may have regarding benefits from:
* Social Security
* Veterans Administration
* Life Insurance Companies
* Employers
* Unions and Associations
* Credit Life Companies

Emotional
I will send you our monthly careletter called "My Care Letter." Each issue contains articles written by grief and recovery professionals, and people like you and me who walk the road of grief and loss. These timely and thoughtful careletters will be sent to you each month with our compliments... and with our hope that they will ease the pain of your loss and assist in the healing of your spirit.

Send Newton-Bracewell Pre-Planning Info

We feel one of the most caring things anyone can do for their family is to prepare and plan in advance. We understand the need and sensitivity of planning one's arrangements. Planning eliminates the uncertainty and confusion about one's wishes.

Please fill in the following spaces below and we will keep all your information on file and send you an I.D. card for your wallet. If you would like further help with this matter or more information you can call us at (530) 342-9003.

Vital Information
Please Complete Only Those Options That Apply
NOTE: This information is needed for the death certificate only.
For more information on how this information will be used, please view our privacy policy at the end of the form below.

TIP: Press the TAB key to move to each form field

THIS PLAN IS FOR:

The Full Name For Who This Plan Is For:

First	Middle	Last

Your E-mail:

Date of Birth:

Place of Birth:

Lived in county since:

Address:

City:

State:

Zip:

County:

Phone:

Fax:

Marital Status:

Social Security #:

Date of Marriage:

Place of Marriage:

Spouse's Full Name

First	Middle	Last

-
Spouse's Maiden Name:

Father's Full Name

First	Middle	Last

-
Father's Place of Birth:

Mother's Full Name

First	Middle		Current Last

-
Mother's Place of Birth:		Mother's Maiden Name:

**Work/Education History**
Grade School Level Completed (0-12):		College Level Completed:
Occupation:
Type of Business:

**Military Record**
Branch of Service:		Serial Number:
Date Enlisted:		Rank At Discharge:
Date Discharged:		Discharge On File At:
Copy of Discharge Papers: Yes No
Name Of Wars:
Person in Charge:
Address:
Phone:

**Funeral Service Request**
Place Of Service:
Name of Place:
Address:		Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Lodge / Union:
Person in Charge of Final Arrangements:
Person in Charge - Phone Number:
Person in Charge - Email Address:

**Special Instructions**
Flower Preference:
Music:
Pallbearers (6):
Jewelry:
Glasses:
Clothing:
Other:

**Disposition Request**
Burial Preference:
Cemetery:
Address:		Phone:
Section:
Power of Attorney for Health Care? Yes No Have made a last will and testament: Yes No
Will Location:

**Other Instructions**
Life Insurance Policies: 1. 2. Newspapers/Media:

**Memorials/Donations To Charity**

**Please select one of the options below**
Send information about pre-arrangement Contact me to set an appointment Please keep my information on file

PRIVACY POLICY

Newton Bracewell Funeral Homes are committed to respecting the privacy of our website visitors. Any data which you provide us is not shared with third parties unless required by law. Personally identifiable information will not be sold, rented, or exchanged with any other organization or entity unless you are first notified and expressly agree to it.

This website contains links to other websites. We will not be responsible for the accuracy or reliability of any information, advice, data, opinions, or statements found on these websites.

Any changes to these policies will be posted on this page.

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CHICO - Newton-Bracewell Funeral Home FD 961 Phone 530-342-9003

PARADISE - Newton-Bracewell Cremation & Funeral Service FD 1670 Phone 530-873-7602

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