Immediate Need

Call us first

If a loved one has just passed away, call us now at (432) 563-9767. Our phones are answered 24 hours a day.This form is not required. Everything on it can also be handled by phone or at the arrangement conference. It is here for families who would rather start in writing.

The Next Steps

The information on this form helps us complete the death certificate and the other required documents, and it makes the arrangement conference shorter. Fill in what you know and leave the rest blank. You can submit it here, or print it and bring it with you. If anything is unclear, call us.
Ethnicity and location picker hidden on the public form.

Contact Information

Will you be responsible for making arrangements?

Deceased Information

Gender

Marital Status

Birth Information

Death Information

Where did the death occur?

Work Information

Location Information

Select your preferred location or closest one.

Please remember to bring in original copies of Social Security Card, Birth Certificate and Marriage Certificate.

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