Immediate Need

We are so sorry for your loss. If you have not already called and scheduled a meeting with us, please contact us anytime at 712-246-2912. Thank you for calling upon Wabash Memorial Chapel, formerly Hackett-Livingston Funeral Home during this difficult time of your life. We consider it an honor and privilege to care for you and your family.

The Wabash Memorial Chapel family will ensure that our professional staff is here to help walk you through the different options you have, no matter what your preferences are and what direction your path may lead.

Again, thank you for letting us serve you. Take comfort in knowing that we are here to care for not only your departed loved one, but you and your entire family.

Immediate Need Form

Free Text

Personal Information of the Deceased

Last Name*

Middle Name*

First Name*

Date of Birth*

Date of Death*

Time of Death*

Social Security Number*

Free Text

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

Free Text

Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name*

Middle Name*

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/Postcode*

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

Get in touch

If a Death Has Just Occurred

Immediate Need Form

A Year of Grief Support