On-line Pre-arrangement Form

Please fill in the On-line Pre-arrangement Form and one of our representatives will contact you shortly.
There are numerous benefits to pre-arranging a funeral, some of which include:

  • Provides peace of mind
  • Relieves your loved ones of unnecessary concern
  • Reflects your expressed wishes
  • Alleviates financial burden on your family

Please take a few minutes to fill out the Online Pre-arrangement form below. Once the information is submitted, a Spear Miller Funeral Home representative will review and file it and will be in touch with you to further discuss the details of your arrangements.

If you’d prefer, a printer-friendly version of this form is also available for you to download and fill out manually. CLICK HERE for further instructions and the download link, if interested.

NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence – we do not release any information to outside parties under any circumstances.

  • Information about the Person Completing this Form:

  • Vital Information about the Person for Whom Pre-arranging Is Being Done:

  • Work and Education:

  • Military Records:

  • Funeral Service Information:

  • Person(s) to Finalize Arrangements at Time of Death:

  • Special Instructions:

  • Disposition Options:

  • Other Information & Instructions:

  • Memorials & Charities:

  • Options

Pre-arrangement Form – Printer-friendly Version:

You can download the printer-friendly version of the Pre-arrangement form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then print it out on your printer. You may then either mail or fax it to us at the address or fax number below, or bring it with you when you visit.

» CLICK HERE to download the form – choose to, ‘Save to Disk,’ in the dialog box that appears (download times will vary depending upon connection.)

Get Adobe Acrobat Reader* NOTE: Adobe Acrobat Reader software is required to view this file – if you don’t already have the Reader installed on your computer, it is available for free from Adobe’s website – please click the icon at right to be taken to the download page.

Mail completed forms to the following address,
or fax them to the number below:

Spear Miller Funeral Home
39 South Benson Road
Fairfield, CT 06824
Fax: 203-254-8522
Please call with any questions: 203-259-0824