Online At Need Form

Thanks for taking the time to fill out our At Need Form. By completing the following information at your own convenience, you should find it easier to provide correct information and have some time to think about the type of services you desire.

The information provided on this form will help Chiles-Laman Funeral & Cremation Services complete the death certificate and other required documents. In addition, this information will assist the funeral director to better understand your initial wishes. Relaying required statistical information can be time consuming. Our desire is to help expedite the final arrangement conference at the funeral home and make the process a little more comfortable.

Please complete (as much as possible) the information on the form and select Submit at the end to send the information to us. You may also print out the form and bring it with you to the arrangement conference or fax it to us.

If you have any questions whatsoever, please contact Chiles-Laman Funeral & Cremation Services at: 419-228-5474.

Online At Need Form