Vital Statistics & Death Certificate Information

The first thing that your family or significant other will need to know is the information that will be on a death certificate.  This information can also be used for burial, cremation or transportation permits. Some fields will be ‘Not Applicable’, simply put N/A in those spaces.  For Example, if you have not served in the military, all of those areas are “not applicable’ to you.

Download and complete the form below and keep it in a safe place or take it to your funeral home of choice or cremation facility for pre-need purposes. For the safety of your personal information, we do not store this information in our database or on any of our servers.