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Vital Stats

"*" indicates required fields

1Review Information
2Decedent Info
3Life Details
4Military
5Will
6Final Questions

We have collected some of the information needed to process the Death Certificate, and put together the documents needed for the authorization of cremation. Take a look down below to make sure what you've already filled out is correct.

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Decedent Name*
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Place of Death Address
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Primary Residence
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At Place of Death
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Deceased Location
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Your Name
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Your Address
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Your Email
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Method of Contact
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Delivery Method
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Are you receiving the remains?
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Recipient Name
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Recipient Email
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Recipient Address
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Final Viewing Options
Was 's full legal name " "?
What was 's legal name?
Did use a name different than their full legal name?
Please list the other names used
First Name
Middle Name
Last Name
 
What was 's gender?*
Did have any Hispanic heritage?
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Where was living at the time of death?
Where was born?*
's Mother's Name
's Father's Name
Just to confirm, you were married to at the time of death, correct?
What is 's spouse's name?
What is 's partner's name?
Does have any living children?
Just to confirm: didn't have any children, and does not have a living spouse?
Just to confirm: you're 's only child?
Since has other living children, Colorado state law requires that a majority of those children sign the death certificate and cremation authorization. Can we gather some information about those individuals?
Since has other living children, Colorado state law requires that a majority of those children sign the death certificate and cremation authorization. Can we gather some information about those individuals?
Please list 's children
First
Middle
Last
Email Address
 
Add Child
Please list 's children
First
Middle
Last
Email Address
 
Add Child
Does have any living siblings?
Please list 's siblings
First
Middle
Last
Email Address
 

Thanks. We'll need to have the decedent's spouse sign the death certificate and cremation authorization, but we can proceed for now.

Thanks. We'll need to have the decedent's partner sign the death certificate and cremation authorization, but we can proceed for now.

Was a veteran?

The information below is not required for a Death Certificate, but can be helpful for applying for VA benefits later on.

Accepted file types: pdf, jpg, png, gif, tiff, Max. file size: 10 MB.
Did have a will?*
Accepted file types: pdf, Max. file size: 10 MB.
Are you the person named as the personal representative of the will?
Do you know the name of the person named as the personal representative of the will?
If not, don't worry, we can come back to this later.
Who is the personal representative of 's will?
We'll need the personal representative to sign the cremation authorization.

If you're not sure, we can keep the process moving for now and come back to this later.

Okay, we'll need to clarify a few details about before we can arrange pickup, but we're almost finished.

Okay, we'll need to clarify a few details about before we can arrange pickup, but we're almost finished.

Okay, we'll need to clarify a few details about before we can arrange pickup, but we're almost finished.

Okay, we'll need to clarify a few details about before we can arrange pickup, but we're almost finished.

Do you have any special requests, notes or important information that you would like to share with us at this time?
Did have any implanted mechanical or radioactive devices (like a pacemaker)?
Would you like to create an obituary to place on our website?
Do you have any questions that we can help answer at this time?
No bells. No whistles. Just simple, straight-forward cremation, so you can get this part out of the way and be where you’re needed most.
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  • 5210 E Arapahoe Rd. Centennial, CO 80122
  • 3839 E 120th Ave Thornton, CO 80233
  • 303-797-6888
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