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Step 1 of 4:

Please complete the following forms to create your personalized funeral service plan. A copy will be emailed to you and we will keep a copy on file here at Davis Funeral Home. This is not a final plan but merely a guide for your loved ones.

Davis Funeral Home now offers personalized advanced planning assistance, either at the funeral home or at your home. If you contact Layton Cottrell (801) 510-0995 and/or Brian Bevins (307) 277-2434 for an appointment to meet with you and record your choices, answer any questions or concerns and explain our flexible funding options. This service is a no cost, no obligation service. If you fill in this form and want us to contact you, check the “Contact Me” box at the end of the form.

If you should have any questions please contact us

 
* = Required Field
Planning for
First Name*  
Middle Name
Last Name*  
Address*  
City*  
State*  
Zip*  
Phone*  
Email*  
 
 
Date Of Birth*  
Place of Birth*  
Social Security Number Will be required at the time of final arrangments.
Spouse's Name
Spouse's Maiden Name
Place Of Marriage
Date Of Marriage
Father's Name*  
Mother's Name*  
Mother's Maiden Name*  
Hispanic Origin  
 
Education* Primary:   Secondary:  
Occupation*  
Business/Industry*  
Company
Years
Military Branch
Date Enlisted
Discharge Date
Rank
Discharge on File At
Name of Wars