Immediate need

Begin Arrangements Online

Use this guided intake to organize the information our care team will ask for. You can stop and return to your saved draft on this device.

About the person who died

Share what you know. Only fields marked required must be completed.

First name Last name

Place of passingDate of passing

Was hospice involved?Hospice or care provider name

Hospice or facility phone

Your contact information

First name Last name

Relationship to the person who diedBest time to reach you

Street address

Phone number Email address

Existing plans and preferences

Is there a prearrangement on file?If yes, with whom?

Burial, cremation, or other wishes

Is this your first time arranging a funeral?Has your family worked with Horizon before?

Anything else the care team should know

Secure delivery: your submission is sent to Horizon through an encrypted connection. A local draft is stored in this browser while you work and cleared after successful delivery. Do not rely on this form for urgent notification—call us immediately.