Immediate Need

Immediate Need If a Death Has Just Occurred

When a loss occurs, you should never have to navigate the next steps by yourself. As a family-owned business, we strive to maintain a warm, face-to-face presence with our families, ensuring you receive personal, compassionate attention during life’s most difficult moments.

Rather than leaving you to work through details on your own, we sit down with you directly to guide you step-by-step through the arrangement process. This allows us to give every service the personal touch your loved one deserves. We are here for you 24 hours a day, 7 days a week—whenever you need us.

CALL US NOW FOR IMMEDIATE SUPPORT

Immediate Need Form

Free Text

Personal Information of the 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

No

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

Yes

No

Has the Body Been Released for Removal?

Yes

No

Do You Permit Us to Cremate the Body?

Yes

No

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?

Get in touch

Immediate Need If a Death Has Just Occurred

Immediate Need Form