Graveside – Step 2

Online Arrangement Form - Graveside

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  • Information Required to File a Death Certificate

    Please complete the fields below. This information is only used for filing a death certificate and is kept in strict confidence.
  • Person Making Arrangements (Contact Person)

    Note: the person making arrangements will be listed as the "informant" on the Death Certificate. The "informant” is simply the person providing the decedent's personal information. Normally this person is the "next of kin" such as: son, daughter, spouse, or other relative; or executor or attorney for estate.
  • Deceased Person's Information

    Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Deceased individual's discharge papers (DD-214) will be required to receive military death benefits. Please mail us a copy or scan and email to info@LancasterCremations.com (please do NOT send originals)
  • While many individual's have had many different occupations, please choose the one that would best represent the decedent.
  • i.e. manufacturing, retail, medical, laborer, etc
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Note: Higher education does NOT include technical, trade, or business schools.
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field.
  • Legal forms require this information. If you do not know the answer to any of the below questions please enter the word "Unknown" in the appropriate field..
  • Cemetery Information

  • Decedent's Children (oldest to youngest with spouse info and phone number)

    If children are deceased, please type "deceased" before the respective name.
  • Example: Mike (Sally) Jones. (717) 555-5555
  • Additional Notes

  • please provide us with any other information that you feel is pertinent.