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Online Preplanning Form

Pre-planning your funeral arrangements not only gives you peace of mind about your final wishes being honored, but alleviates some of the stress and burden your loved ones are going through as they experience the grief associated with the loss.

The staff of Moloney Family Funeral Homes is here to assist you with your funeral pre-needs by helping you make decisions about your funeral service in advance and guide you in helping eliminate some of the unnecessary stress brought on by a loved one’s death.


You may fill out as much or as little as you wish, but we do need your basic contact information so we can follow up with you to get any additional information we may need to complete your arrangements.


If you have any questions, or would like assistance with this form, please call (631) 588-1515

Online Preplanning Form

Personal Information


About You



Family, Work, & Education

Family Information



Additional Family Members



Education History



Work History


Your Wishes





Your Preferences

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