Patton Funeral Home Brownsville Kentucky Park City Edmonson Barren

At Patton Funeral Home we understand that a loved ones passing often can be an unexpected event or happen suddenly. Our compassionate and caring staff will assist you in creating a meaningful and beautiful ceremony for your loved one. To further assist you in your time of need we have provided an online planning form. By completing this form you will be providing our staff with information that will allow us to provide your family and loved one with the best possible service.

Certificate Information Name (for Obituary) First name Last name Address: City Limits City County St: Zip Birthdate Birthplace Death Date Time Age Male Female Color Single Married Widowed Divorced Spouse's Name Social Security Number Education Occupation Employer Father's Name Mother's Name

Informant Information Your Name Address Phone

Service Information

Funeral Time Day Date Place

Visitation Family Time Friends Time Day Place

Second Day Visitation Time Day Place

Cemetery Ministers Singer Music Obituary Special Services Church Membership Lodge/Membership In Lieu of Flowers

Veteran Information War Branch Eligible for VA Benefits? Yes No

Pallbearers Pallbearers Honorary Pallbearers

Family Information - Survivors Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Name Relationship Address Number of Grandchildren Number of Great Grandchildren Number of Great-Great Grandchildren

Predeceased by Name Name Name Name Name Name Name Name Name