Submit Vital Information

Cremation

Submit Vital Information For Cremation

From the information you provide on this form, we will create the necessary cremation arrangement documents.

Submit Vital Information - Cremation

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Decedent's Vital Information

First Name

Middle Name

Last Name

Suffix

Gender

Date of Birth

Birthplace

Social Security

Maiden Name

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Decedent's Residence

Street

City

State/Province

ZIP/Postcode

County

Is Residence Inside City Limits?

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Marital Status

Spouse's Full Name

Spouse's Maiden Name

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Optional Info

Is the decedent a military veteran?

Race

Highest Education

Main Occupation

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Decedent's Parents

Father's Full Name

Mother's Full Name

Mother's Maiden Name

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Person Making Arrangements

Full Name

Relationship to the Person Above

Email Address

Cell Phone

Home Phone

Street

City

State/Province

ZIP/Postcode

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If Known

Date of Death

Place of Death

How Many Death Certificates Do You Need?

Would you like us to create an Online Tribute Page on our website?

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Cremation Decisions

Is there a pacemaker present?

After the cremation

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Urn Selection

After the cremation, in what type of container would you like your loved one's cremated remains returned? (choose one)

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Service / Ceremony

Will there be a ceremony before or after the cremation?

Final Resting Place:

All Faiths Funeral Services

North Location

All Faiths Funeral Services

South Location

A Year of Grief Support

Sign up for one year of weekly grief messages designed to provide strength and comfort during the challenging first year after your loss

Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law.

Complaints concerning perpetual care cemeteries should be directed to: Texas Department of Banking, 2601 North Lamar Blvd., Austin, TX 78705; 1-877-276-5554 (toll free); www.dob.texas.gov

Submit Vital Information

Cremation

Submit Vital Information For Cremation

Submit Vital Information - Cremation

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