[Funeral Home Name]

License No.: [License Number]

This Funeral Service Agreement (“Agreement”) is entered into between [Client’s Full Name], hereinafter referred to as the “Client,” and [Funeral Home Name], a licensed funeral establishment, hereinafter referred to as the “Provider.”

1. Services Offered

1.1 The Provider agrees to provide the following funeral services:

  • [ ] Traditional Funeral Service
  • [ ] Memorial Service
  • [ ] Graveside Service
  • [ ] Cremation Service
  • [ ] Other (Specify): ______________________

1.2 The Client acknowledges that the selected services may have additional costs based on specific requirements.

2. Service Details

2.1 Embalming and Preparation:

  • [ ] Embalming for preservation purposes
  • [ ] Dressing and cosmetology
  • [ ] Viewing arrangements

2.2 Casket and Urn Selection:

  • [ ] The Client selects the following:
    • Casket (Model/Type): ______________________
    • Urn (if applicable): ______________________

2.3 Transportation:

  • [ ] Transportation of the deceased to the funeral home
  • [ ] Hearse service to the cemetery or crematorium

3. Costs and Payment Arrangements

3.1 The total cost for the selected services is $__________.

3.2 Payment Options:

  • [ ] Lump Sum Payment
  • [ ] Installment Plan (details attached)
  • [ ] Preneed Insurance Policy (details attached)

4. Liability Waiver

4.1 The Client understands that the Provider is not liable for any changes in state laws, regulations, or taxes that may impact the funeral arrangements.

4.2 The Client releases the Provider from any liability arising from unforeseen circumstances, including changes in pricing, availability, or legal requirements.

5. Governing Law

5.1 This Agreement shall be governed by the laws of the state of [State Name].

6. Signatures

By signing below, the Client acknowledges that they have read and understood this Agreement and agree to its terms.

Client’s Signature: ______________________ Date: ______________________

Provider’s Signature: ______________________ Date: ______________________