1109 5th Street | Modesto, CA 95351 | FD1663

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Insurance Assignment Funding a funeral using an insurance policy

If you wish to fund a funeral using an insurance policy, please use the forn below to provide us with the key information that we will need to process the insurance claim.  Providing this ahead of meeting with us will save you time but you may also bring this information along in person, if you prefer.

1. Information about the deceased


2. Insurance Policy Information


Start typing the company name to view suggestions. It's OK to enter a name that is not listed.
Enter the dollar amount that you wish to assign to the funeral home

3. Your Contact Information



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