Cremation

Where is the deceased located now

Place Of Death

Other

Other:

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Street

Apt/Unit/Suite

City

State

Zipcode

Country

Is deceased is ready for transfer? Please call the funeral home if you do not hear from a funeral director in 30 minutes from submission.

Yes

Casket Selection

Your loved one will be placed in an alternative container (a casket is not needed for direct-cremation) as required by the crematory. But should you wish to upgrade this container to one of the below cremation-friendly alternatives we would be honored to do so.

Other details you want the Funeral Director to know

Urn / Jewelry Selection

Your loved ones cremains will be returned to you by our staff in a minimum container provided by the cemetery, or you have the option to upgrade to an urn from our selection below.

Post Cremation

After the cremation has taken place, how would you like to recieve the ashes

Pick Up at Funeral Home Mail - Set Charge Delivery Other

Other

Delivery To

Caller

Other

Number

Street

Apt/Unit/Suite

City

State

Zipcode

Country

Lorem Funerals USA Cremation

Title:

First name:

Middle name:

Last name:

Suffix:

Relationship:

Phone number:

Email address:

Preferred Contact:

Number:

Street:

Apt/Unit/Suite:

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Unaccompanied Direct Cremation $2,285*
(Alternative cremation container provided by funeral home):

Unaccompanied Direct Cremation with private ID $2,485*
(5 people for 10 minutes. Includes setting features & dressing. No embalming, no cosmetology):

Unaccompanied Direct Cremation with casket selection from our funeral home $3,460–$13,260*
(Casket selected instead of alternative container):

Unaccompanied Direct Cremation with container provided by purchaser $2,265*
(Alternative cremation container provided by family):

Will up to 15 people be witnessing the start of the cremation? A cost of $465 applies.:

Do you require a copy of the death certificate? A cost of $15 applies for each copy.:

Number of copies of the death certificate required?:

Deceased Details

Title:

First name:

Middle:

Last name:

Date of Birth:

Date of Death:

Education:

Ethnicity:

Race:

Occupation (Cannot be retired):

Type of Industry:

Veteran:

Last Residential Address

Enter the information that is known:

Branch:

Other Branch:

Deceased Details

Service No:

Rank:

Entry to Millitary Date:

Discharge from Millitary Date:

Pacemaker:

Social Security Number:

Primary Care Physician:

Place of Birth

City:

State:

Country:

Last Residential Address

Other::

Hospital / Nursing Home:

Number:

Street:

Apt/Unit/Suite:

City:

State:

Zipcode:

Country:

Number:

Street:

Apt/Unit/Suite:

City:

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Parents of the Deceased

First Name:

Middle name:

Last Name:

Maiden Name:

Suffix:

Life status:

Place of Birth:

First Name:

Middle name:

Last Name:

Suffix:

Life status:

Place of Birth:

Informant

Deceased Details

Same as Caller:

Informant

First Name:

Middle name:

Last Name:

Suffix:

Relationship:

Phone:

Email:

Number:

Street:

Apt/Unit/Suite:

City:

State:

Zipcode:

Country:

Other::

Number:

Street:

Apt/Unit/Suite:

City:

State:

Zipcode:

Country:

Is deceased is ready for transfer? Please call the funeral home if you do not hear from a funeral director in 30 minutes from submission.:

Casket Selection

Selected Casket:

Other details you want the Funeral Director to know:

Urn / Jewelry Selection

Selected Urn / Jewelry:

Disposition Details

After the cremation has taken place, how would you like to recieve the ashes:

Other:

Delivery To:

Number:

Street:

Apt/Unit/Suite:

City:

State:

Zipcode:

Country:

Please make sure all details are correct before submitting

Your Details

Your Address

Choose Plan

Deceased Details

Place of Birth

Place of Death

Last Residential Address

Parents of the Deceased

Informant

Where is the deceased located now

Casket Selection

Your loved one will be placed in an alternative container (a casket is not needed for direct-cremation) as required by the crematory. But should you wish to upgrade this container to one of the below cremation-friendly alternatives we would be honored to do so.

Urn / Jewelry Selection

Your loved ones cremains will be returned to you by our staff in a minimum container provided by the cemetery, or you have the option to upgrade to an urn from our selection below.

Post Cremation

Lorem Funerals USA Cremation

Deceased Details

Last Residential Address

Deceased Details

Place of Birth

Last Residential Address

Parents of the Deceased

Informant

Deceased Details

Informant

Casket Selection

Urn / Jewelry Selection

Disposition Details