Immediate Need

In times of immediate loss, we understand the profound impact of losing someone dear. Every life is unique and deeply meaningful, and the absence of a loved one leaves an irreplaceable void. In this season of grief, when emotions can feel overwhelming, know that you are not alone. Inspired Funeral Home is here to support you and your family through this challenging time.

If you've not done so, please call us at (385) 853-5700 day or night. We will make arrangements to bring your loved one into our care and will set a time for you and your family to come to the funeral home to begin making arrangements.

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name*

First Name*

Date of Birth*

Date of Death*

Time of Death*

Social Security Number*

Free Text

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

Free Text

Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name*

Middle Name*

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/Postcode*

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

If a Death Has Just Occurred

Immediate Need Form

A Year of Grief Support