Immediate Need Funeral Services | Simple Cremation

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name*

First Name*

Date of Birth*

Date of Death*

Time of Death*

Social Security Number*

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Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

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Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

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Personal Information of Person Legally Responsible for Disposition

Last Name*

Middle Name*

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/Postcode*

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

What should I do if a loved one has passed away?
If a death has occurred, please call us immediately. Our team is available 24/7 to guide you through the next steps, including transportation, necessary paperwork, and making arrangements.
How soon do I need to make funeral arrangements?
It’s natural to feel overwhelmed, but we’re here to help. While some decisions may need to be made quickly, we will walk you through the process at a pace that feels comfortable for you and your family.
What if my loved one passes away outside of the area?
If your loved one passes away while out of town or in another state, we can coordinate with other professionals to bring them home. Contact us as soon as possible, and we will handle the details for you.

Get in touch

IMMEDIATE NEED

If a Death Has Just Occurred

Immediate Need Form

Have more questions?

What should I do if a loved one has passed away?

How soon do I need to make funeral arrangements?

What if my loved one passes away outside of the area?

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