SERVICES

If a Death Has Just Occurred

Please accept our heartfelt sympathies for your loss. During this difficult time, our team is here to support and guide your family through every step of the process. We understand that you may have many questions, and we are committed to helping you plan a service that honors your loved one.

If you haven’t already done so, please call us at 770-961-2828, available day or night. We will arrange to bring your loved one into our care and schedule a time for you and your family to visit our funeral home to start making arrangements.

For a quicker start, you can also fill out the form below. This will help us gather the necessary information to assist you more efficiently.

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name*

First Name*:

Date of Birth*

Date of Death*

Time of Death*

Social Security Number*

Free Text

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

Free Text

Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name*:

Middle Name*:

First Name*:

Relationship to Deceased*

Street*

City*

State/Province*

Zip/postcode

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

SERVICES﻿

If a Death Has Just Occurred

Immediate Need Form

A Year of Grief Support

Please wait

Please wait

You have been unsubscribed

You have been subscribed

Something went wrong

SERVICES