Immediate Need Arrangements

Authorization for Cremation and Disposition Form: This form must be printed, filled out by hand and mailed to our office.

Please enter the information of the person filling out this form:

Informants Information

First Name*:

Last Name*:

Relationship*:

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone:

Email Address:

Next of Kins Information

Is the Above Person the legal Next of Kin?*:

Legal

Is there a Will?*:

Yes

Unsure

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Informants Information