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2. 
4. Name of Funeral Home:
6. Funeral Home Contact Name:
7. Funeral Home Contact Phone Number:
9. Name of Deceased:
10. Date and Time of Funeral:
12. Beginning of Escort Location:
14. Time Requested for Escort at First Location:
16. Destination Address of First Escort:
18. Address of Escort Second Location:
20. Time Requested for Escort at Second Location:
22. Destination Address for Second Escort:
24. Was the Deceased a Veteran?

    1. Yes
    2. No
25. Was the Deceased a Law Enforcement Officer?

    1. Yes
    2. No
26. Was the Deceased ever an Elected Official?

    1. Yes
    2. No
28. If you would prefer to print and fax form please submit to both:

    Hoke County Emergency Communications 910-875-1413

    Hoke County Sheriff’s Office 910-875-2034

29. Print Form Here
    Funeral Escort Form
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field