Home
Obituaries
About Us
Our Services
- Our Services
- Making Arrangements
Merchandise
- Funeral Products
- Monuments
Directions
Pre-Plan
Immediate Need Form
Resources

Immediate Need Form

We understand that making the many decisions which come at a time of loss can be difficult. We offer our support by providing you with two options as you consider making immediate arrangements.

In Person

Please call us at 1-910-653-2104 to make arrangements in person with a caring, professional funeral director. Call us any time - we are available 24 x 7.

Online

Arrangements can be made in the comfort of your own home by filling the form below. Fill in as much as you are comfortable with and we'd be pleased to meet with you to discuss further. See the form below for details.

Arrangement Information

Personal Information of Deceased

Last Name

First Name

Middle Name

Date of Birth

Social Security Number

Date of Death

Time of Death

Preparation Information

Has a Doctor / Coroner Been Notified?

YesNo

If deceased passed at home

Has the Body Been Released for Removal?

YesNo

Do You Permit Us to Embalm the Body?

YesNo

Do You Permit Us to Cremate the Body?

YesNo

If Yes, Who Has Granted Permission?

Physician Information

Name of Doctor Signing Death Certificate

Street

City

State/Province

ZIP/Postcode

Business Telephone

Email Address

Personal Information of Person Legally Responsible for Disposition

Last Name

First Name

Middle Name

Relationship to Deceased

Street

City

State/Province

ZIP/Postcode

Primary Phone Number

Best Time to ReachVia phone

Secondary Phone Number

Do You Have a Prearrangement on File with Us?

YesNo

If Yes, Under What Name?

Funeral/Memorial Service Information

Preferred place of service

Religious denomination

Is there pre-need funeral insurance on decedent?

YesNo

If yes, specify type

Memorials & donation preferencesPlease list memorials or charitable donations that you'd like listed in the obituary

Special InstructionsOptionally use the area above to provide additional information or instructions to us.

Anti-Spam Security Question

Send Us a Message

Your Name*

Email Address*

Subject

Your Message

Contact Us

Call Us
1-910-653-2104

location_on Address
300 E 5th. Street
Tabor City, NC 28463

Email
iwfhc@inmanward.com

access_time Hours
Mon - Fri 9:00 am to 4:30 pm

You are welcome to call us any time of the day, any day of the week, for immediate assistance. Or, visit our funeral home in person at your convenience.