Information for Death Certificate

As part of the cremation process, a death certificate must be prepared and filed in accordance with North Carolina state requirements. The information requested below helps us accurately complete the official Certificate of Death.We understand this can feel overwhelming, and we are here to guide you. Please provide the requested details to the best of your ability, and contact us if you need assistance at any point.

Your Contact Information

Upon completion of this form, you'll receive an email with a copy of the information you submitted.

Information About the Decedent

Spouse's Information (if applicable)

Father's Information

Mother's Information

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.