Reichmuth Funeral Home

21901 W. Maple Rd

P.O. Box 67

Elkhorn, NE 68022

Phone: 402-289-2222

Fax: 402-289-2223

Email: reichmuthfh@yahoo.com

Immediate Need

If you have immediate need of our services, we're available for you 24 hours a day.

Obituaries & Tributes

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Immediate Need

If you have immediate need of our services, please feel free to use the form below to provide us as much information as you have available to save time at the arrangement conference. We understand this is a difficult time and want to make things as easy as possible. Please feel free to call us anytime at 402-289-2222 or email us at reichmuthfh@yahoo.com and we will be happy to assist you.

I. Biographical Information
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number:	(xxx-xxx-xxxx)
Email Address:
Date of Birth:	(month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:

Social Security Number:	For security reasons, we will contact you to complete the pre-arrangement.
Residence History:	Enter Text Here...
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence	Enter Text Here...
Relatives Who Have Preceded In Death	Enter Text Here...
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:
II. Military Record
Veteran:
Branch of Service:
Serial Number:
Date Enlisted:	(month/day/year)
Date of Discharge:	(month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):	Enter Text Here...
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:
III. Service Preferences
Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:	List Clergy Here...
Pallbearers:	List up to eight pallbearers
Flower Preference:	Enter Flower Preference...
Music Selection:	Enter Music Selection...
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:
Miscellaneous Notes and Instructions: Enter Text Here...
Please select one of the options below: Please send me information Please contact me to schedule an appointment Please place my information on file

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Reichmuth Funeral Home

Order Flowers

Immediate Need

Obituaries & Tributes

Order Flowers

Affordable Funeral Homes

Immediate Need

365 Days of Healing