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1Service Area

2Our Services

3Loved One’s Details

4Location

5Your Details

6Review

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Which location best suits your needs?

Service Area

Funeral Home

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Funeral Home Name

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Business Email

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Disclosure Confirmation

I acknowledge that I have been provided with a GPL and appropriate disclosures as required by law

We don’t think you should have to make decisions under pressure, so we offer immediate pickup free of charge.

Arranging pickup should only take a few minutes. We’ll contact you when your loved one is in our care or if we have any questions.

And if you decide you’d prefer to use another mortuary or cremation service, you won't be charged for the transfer.

Now

Can you tell us the name of your loved one?

On behalf of our entire EasyCremation team, we’re sorry for your loss. Please know we’re here to make the cremation arrangements as simple as possible. These initial arrangements should only take about 10 minutes.

First name of loved one

We need to know the name of your loved one. This information will be kept private.

What is the full name of the person you're making arrangements for?*

Prefix First Middle Last Suffix

We need to know the name of your loved one. This information will be kept private.

Let us know who you're making arrangements for*

Please specify relationship

Date of Birth*

Date of Death*

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Decedent Age

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We’d need to know a little bit more about

This is important information. Don’t feel obligated to provide it all, as we can follow up later.

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Next, can you tell us where is located?

Please complete this information as best as you can. If there is anything you do not know, there is no need to be concerned. Simply call us.

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Choose a State

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County where death occurred

Where was at the time of death?*

Please enter the location name or address of the place of death

Location Name/Street Address Address Line 2 City State ZIP Code

Was this 's primary residence?

Yes

Is still at the place of death?

Yes

Please enter the location name or address of 's current location

Location Name/Street Address Address Line 2 City State ZIP Code

Now

Just a few more questions. Now we need to know a little bit more about you.

This is important information. Don’t worry if you don’t have it all, we’ll follow up later.

What is your name?*

First Middle Last

Your Address*

Location Name/Street Address Address Line 2 City State ZIP Code

Email Address*

Phone*

What is your preferred method of contact?*

Phone

This is all we need for now, so use the Save Progress button to receive a link, and come back to complete the form when you're ready.

Not Ready To Make A Decision

Cremate Simply Includes:

Cremation Summary

Can you tell us the name of your loved one?

We’d need to know a little bit more about

Next, can you tell us where is located?

Just a few more questions. Now we need to know a little bit more about you.

Please review the provided information

’s Information :

Your Information :

Information

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