Statistical Information Form
Record Your Statistical Information
Facing the loss of a loved one is perhaps the most difficult event we all face. You can make it easier by recording your own personal information and preferences. We will keep this information on file and you may add to it, update it, or come in and complete your pre-planning at your convenience.
Please fill out all information completely. It is used for the preparation of the death certificate and held in strict confidence. Please make sure all this information is correct and filled in completely.