Cremation – Mount Auburn Cremation

Your Details

Title *

Mr Miss Mrs Ms

First name *

Last name *

Phone number *

Email address *

How would you like us to contact you? *

Phone Email SMS

Your loved ones details

First name *

Middle Name/s

Last name *

Known As

Date of Birth *

Date of Death

Age (Yrs)

Age (Mths)

Age (Days)

Check all that apply

They were a veteran

They have a pacemaker

Your Address

Can we send mail to this address? *

Yes

Parents of the Deceased

Mother

First Name

Middle name

Last Name

Maiden Name

Suffix

Life status

Living Deceased

Place of Birth

Father

First Name

Middle name

Last Name

Suffix

Life status

Living Deceased

Place of Birth

Where is your loved one currently located?

we will arrange to bring them into our care

Did they pass away at this location? *

Yes

Where did they pass away? *

We need a little more information about your loved one

What was their highest level of education?

What was their race?

Occupation (Cannot be retired)

Type of Industry

Social Security Number

We thank your loved one for thier service

If there is anymore information you can give us that could help

Branch

Other Branch

Service No

Rank

Entry to Millitary Date

Discharge from Millitary Date

Packages

Our charge for a direct cremation (without ceremony) or any attendant rites or ceremonies includes: basic services of funeral director and staff, a proportionate share of overhead costs, local removal of remains and transportation to crematory. If you want to arrange a direct cremation, you can use an alternative container. Alternative containers encase the body and can be made of materials like fiberboards or composition materials (with or without an outside covering). The alternative containers we use are wood and fiberboard.

The state required medical examiner fee ($200) and crematory/cremation fee ($425).

Casket Selection

Select a casket

Your loved one will be placed in an alternative container (a casket is not needed for direct-cremation) as required by the crematory. But should you wish to upgrade this container to one of the below cremation-friendly alternatives we would be honored to do so.

Other details you want the Funeral Director to know

Urn / Jewelry Selection

Select an Urn

Your loved ones cremains will be returned to you by our staff in a minimum container provided by the cemetery, or you have the option to upgrade to an urn from our selection below.

Post Cremation

Do you require a copy of the death certificate? A cost of $15 applies for each copy.

Yes

Number of copies of the death certificate required?

After the cremation has taken place, how would you like to recieve the ashes

Pick Up at Funeral Home

Mail - Set Charge

Delivery

Other

Delivery To

Caller

Other

Mount Auburn Cremation

Your Details

Title:

First name:

Last name:

Phone number:

Email address:

How would you like us to contact you?:

Your loved ones details

First name:

Middle Name/s:

Last name:

Known As:

Date of Birth:

Date of Death:

Age (Yrs):

Age (Mths):

Age (Days):

Check all that apply:

Your Address

Where are you located?:

Can we send mail to this address?:

Parents of the Deceased

First Name:

Middle name:

Last Name:

Maiden Name:

Suffix:

Life status:

Place of Birth:

First Name:

Middle name:

Last Name:

Suffix:

Life status:

Place of Birth:

Where is your loved on currently located

Where are they located?:

Did they pass away at this location?:

Where did they pass away?:

Your loved ones details

What was their highest level of education?:

What was their race?:

Occupation (Cannot be retired):

Type of Industry:

Social Security Number:

Veteran details

Branch:

Other Branch:

Service No:

Rank:

Entry to Millitary Date:

Discharge from Millitary Date:

Packages

Packages:

Casket Selection

Selected Casket:

Other details you want the Funeral Director to know:

Urn / Jewelry Selection

Selected Urn / Jewelry:

Disposition Details

Do you require a copy of the death certificate? A cost of $15 applies for each copy.:

Number of copies of the death certificate required?:

After the cremation has taken place, how would you like to recieve the ashes:

Other:

Delivery To:

Other:

Please make sure all details are correct before submitting

Direct Affordable Cremation

Your Details

Your loved ones details

Your Address

Parents of the Deceased

Mother

Father

Where is your loved one currently located?

we will arrange to bring them into our care

We need a little more information about your loved one

We thank your loved one for thier service

If there is anymore information you can give us that could help

Packages

Casket Selection

Select a casket

Your loved one will be placed in an alternative container (a casket is not needed for direct-cremation) as required by the crematory. But should you wish to upgrade this container to one of the below cremation-friendly alternatives we would be honored to do so.

Urn / Jewelry Selection

Select an Urn

Your loved ones cremains will be returned to you by our staff in a minimum container provided by the cemetery, or you have the option to upgrade to an urn from our selection below.

Post Cremation

Mount Auburn Cremation

Your Details

Your loved ones details

Your Address

Parents of the Deceased

Where is your loved on currently located

Your loved ones details

Veteran details

Packages

Casket Selection

Urn / Jewelry Selection

Disposition Details

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