Cremation - Family Choice Cremation

Information for person completing form

First Name

Last Name

Contact Phone

Relationship to Deceased

Please specify relationship

Your address

Street Number

Street Name

City

State

ZIP Code

First name

Family name

Simple Cremations For Rhode Island $2,195.00*
Includes services of funeral director and staff, transportation of remains from within RI, preparation of all necessary legal documents and permits, Medical Examiner certificate, filling death certificate by mail, Social Security notification, fiberboard container for cremation, cremation and basic urn. Includes access to our interactive website where the obituary of your loved one will remain and social media links

Simple Cremations For Massachusetts $2,395.00*
Includes services of funeral director and staff, transportation of remains from within MA, preparation of all necessary legal documents and permits, Medical Examiner certificate, filling death certificate by mail, Social Security notification, fiberboard container for cremation, cremation and basic urn. Includes access to our interactive website where the obituary of your loved one will remain and social media links. Not included: each city and town in Massachusetts charges for a burial/cremation certificate which varies by community. Due to state fees, $200

*Prices do not include other items such as paid obituaries, clergy fees, musicians, cemetery fees, or certified copies of death.

Did your loved one have any of the following?

Other device

Did your loved one have a communicable disease?

Yes No

Do you want anything placed with your loved one during cremation? (letters, photos etc)

Yes No

Do you want us to take fingerprints of your loved one for use on keepsake or memento items?

Yes No

Family Choice Cremation Confirmation

Information for person completing form

First Name:

Last Name:

Contact Phone:

Email:

Relationship to Deceased:

Please specify relationship:

Street Number:

Street Name:

City:

State:

ZIP Code:

First name:

Family name:

Did your loved one have any of the following?:

Other device:

Did your loved one have a communicable disease?:

Do you want anything placed with your loved one during cremation? (letters, photos etc):

Do you want us to take fingerprints of your loved one for use on keepsake or memento items?:

Deceased Details

Prefix:

First Name:

Other Name(s):

Last Name:

Suffix:

Date of Birth:

Current Location of Deceased:

Date of Death:

City:

State:

Nationality:

Gender:

Social Security Number:

Marriage Details

Marital Status at Time of Death:

First Given Name:

Other Name(s):

Last Name:

Street Number:

Street Name:

City:

State:

ZIP Code:

Father's Information

First Name:

Other Name(s):

Last Name:

Suffix:

Status:

Mother's Information

First Name:

Other Name(s):

Last Name:

Suffix:

Maiden Name:

Status:

Deceased's address is the same as my own?:

Street Number:

Street Name:

City:

State:

ZIP Code:

Highest Level of Education:

Occupation (most of life):

Industry:

Was deceased of Hispanic origin?:

Race:

Was deceased in the armed forces?:

Branch:

Rank:

Conflicts:

Please list any other instructions or information you would like us to have:

How would you like to receive the cremated remains?:

How many certified copies of the death certificate do you require? (first copy is $22, additional copies are charged at $18 per copy):

Please make sure all details are correct before submitting

Direct Affordable Cremation

Information for person completing form

Deceased Vital Statistics for Death Certificate

Marriage Details

Spouse / Partner's Information

Father's Information

Mother's Information

Family Choice Cremation Confirmation

Information for person completing form

Deceased Details

Marriage Details

Father's Information

Mother's Information