Pre-Arrange Online

  • Pre-Arrange Online Now

Preplanning your own, or a loved one's, funeral prior to death allows you to express your own wishes. Preplanning relieves your family of making stressful decisions at a difficult time. Preplanning does not require prepayment, however, a prepayment option is available.

The Burns Funeral Home is here to assist you with your funeral preplanning. You can contact us to arrange a time to meet, or you can start the process by completing and submitting this form. If you wish for the Burns Funeral Home to contact you to arrange a meeting to discuss all of your options, please choose the appropriate option at the bottom of the form. If you wish, we can also file the information until you are ready to meet in person.

Please Note: This form should not be used to report a death of a loved one. In those cases, please immediately call the funeral home to make the proper arrangements at 978-663-3968 (Billerica) or 617-876-8336 (Cambridge).

Your Information

Mailing Information

Please enter the your race as it will be listed on the death certificate

Father & Mother Information

Please enter your father's state of birth if he was born in the U.S.A. If not, please enter country of birth

Please enter your mother's state of birth if she was born in the U.S. If not, please enter the country

Spouse's Information

Spouse's Address

Work & Education
Military Information
Funeral Service Information
Next of Kin Information


Disposition Information
Additional Information

Please include anything about yourself that you may want included in your obituary

Special Instructions
Send Information
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