Information Form

This form below will provide us with the information we require to allows us to fill out all of the necessary documentation for you. If you would prefer to call or meet with us to communicate this information you may do so as well.

Please do not be concerned if you only have some of the information. Please fill out as much of the form as you can and any missing information can be submitted at a later time through this form or communicated to our staff over the phone.

    Informant's Information











    Next of Kin / Executor Information

    Is there a will?



    Deceased's Information







    Date of Birth:

    Marital Status









    Safety Information

    Is there a pacemaker or defibrillator present?

    Was death due to infectious, or contagious disease?



    Services

    Service Type

    Would you like more information, or to have us organize, one of the following services?
    I do not wish to organize a service.

    1 Hour Family Gathering

    A family gathering of up to 25 attendees and held at any of our pre-designated locations with an urn present. Flowers, catering, and other services can be arranged.

    Memorial Service

    A 2 hour visitation incorporating a brief formal or ritual service if desired with an urn present. Our staff can arrange for everything, including flowers and catering if desired.

    Visitation and Reception

    A 2 hour visitation followed by a service and ceremony. Families also have the option of a graveside service after the ceremony as well as a reception if necessary.

    Identification

    Being able to see a loved one before a final disposition is helpful for a sense of closure. This is not necessarily a funeral service, but an opportunity to briefly say goodbye for before final disposition.

    Witnessing of Cremation

    Witnessing of a cremation is a service where families wish to witness the actual cremation process. This is a very common request since this type of brief ceremony provides families and friends with a feeling of closure.


    Would you like help settling your estate?

    Are there any additional services you are considering?


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