Vital Statistics Information

Deceased Full Name (Include Middle Initial)

Street

City

State/Province

ZIP/Postcode

Place of Birth / City and State

Race / Ethnicity

Date of Birth

Age

Father's Name

Mother's Name (Include Maiden Name)

Marital Status

If married spouse's name (if wife include maiden name)

Occupation for most of working life

In what industry

Veteran

YesNo

Which branch

SSN

Highest Level of Education

Informant / Next of Kin

Informant's Address

Street

City

State/Province

ZIP/Postcode

Anti-Spam Security Question

In this section

Vital Statistic Sheet

Contact Us

You are welcome to call us any time of the day, any day of the week, for immediate assistance. Or, visit our funeral home in person at your convenience.

19 East Germantown Pike
| Norristown, PA 19401
| Tel: 1-610-275-2139
|

Affordable Cremation of Montgomery County
| 19 East Germantown Pike
| Norristown, PA 19401
| Tel: 1-610-275-2139
|

Home

Home

Obituaries

All Obituaries

About Us

About Us
Contact Us
Privacy Policy

Cremation Services

Cremation Services

Urn Store

Urn Store

Vital Stats

Vital Statistic Sheet

Pre Arrangement Form

Pre-Arrangements Form

Cremation FAQ's

Cremation FAQ's