site image

Vital Statistic Sheet

Vital Statistic Sheet

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

Affordable Cremation of Montgomery County
| 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

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

A year of daily grief support

Our support in your time of need does not end after the funeral services. Enter your email below to receive a grief support message from us each day for a year. You can unsubscribe at any time.

© 2024 Affordable Cremation of Montgomery County. All Rights Reserved. Funeral Home website by CFS & TA | Terms of Use | Privacy Policy | Accessibility