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What to expect during the enrollment meeting.

Vital Statistic Information

Vital Statistic Information

Vital Statistic Information

This form is required by the funeral home. It contains all the vital information needed to process your arrangements, securing regulation permit, death certificate, identify your legal next of kin and emergency contact information.  

The Decedent's info section is the person who is preplanning. The Informant section is for the legal next of kin.

For your convenience, we recommend to use a desktop computer to download the form and complete it in preparation for your appointment. 

Personal Information

Vital Statistic Information

Vital Statistic Information

Being that your funeral plan is funded through a funeral life policy, personal identification information will be required, such as ID verification for name, address, date of birth, and social security number.

You can also think of at least two people you would like to assign as contacts.  Typically they would be the ones meeting with the funeral home for your final arrangements. Therefore please bring their names, addresses, emails, and phone numbers.

Form of Payment

Bring along a relative/friend.

Bring along a relative/friend.

Acceptable forms of payment can be either credit cards or EFT (Electronic Transfer Fund). You have the choice to pay in full or enroll in a payment plan.  We do not accept cash payments, instead you can use a cashier's check but your enrollment will take longer.

Your enrollment application is confirmed within a few hours and could take about 3 weeks for mailing.

Bring along a relative/friend.

Bring along a relative/friend.

Bring along a relative/friend.

 If possible, we recommend you bring a family member or trusted friend as the second witness, to ensure someone close to you is aware of your arrangement details.  Ideally, this person would be a family member likely to be involved in your final arrangements. 

Our meeting office can accommodate up to three (3) people comfortably.

Please download & complete prior to the meeting.

The funeral home will keep this completed form to process your permit and death certificate at the time of need. If possible, please complete contact information of at least three (3) people for us to reach out as necessary.  

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Protect My Heritage

2810 W. Charleston Blvd., #72, Las Vegas, NV 89102

702-403-2311

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