Forms & Documents

Forms & Documents

Kirby & Family Funeral and Cremation Services Documents

• Vital Statistics Form

• Cremation Authorization

Kirby's Tucker Memorial Cemetery

• Rules and Regulations

• Interment Authorization

Veteran Benefits

Your funeral director will assist you with filing these applications for veteran benefits. Every honorably discharged veteran is entitled to receive, at no cost, a flag, presidential certificate, and cemetery marker or medallion. We will also assist with the burial benefits application, in which veteran families are able to apply for reimbursement of some of the funeral expenses. We will need a photocopy of the veteran's honorable discharge (DD-214) to complete these documents.

• Application for US Flag for Burial Purposes

• Presidential Memorial Certificate Request

• Claim for Standard Government Headstone or Marker

• Claim for Government Medallion for Placement in a Private Cemetery

• Application for Burial Benefits

State of Arkansas Insurance Department Forms

• C-1 Form - Request to Withdraw Funds or Proceeds

• C-2 Form - Re-Assignment of Prepaid Funeral Benefits

• C-3 Form - Request to Cancel a Prepaid Funeral Benefits Contract