Pre-Planning Form

Two forms must be signed to authorize cremation:

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Information necessary to complete death certificate:

  • Name
  • Legal address
  • Date & place of birth
  • Occupation
  • Social security number
  • Marital status
  • Title XIX Number (if applicable)
  • Veteran (if applicable)
  • Education level
  • Name of spouse
  • Father’s name
  • Mother’s name (maiden)
  • Disposition of Cremains
  • Next of kin information