Immediate Need

Let us take a moment to say we are so sorry for your loss. We hope that you will find this section of our website helpful in this difficult time. If you are looking for information on what to do now that a death has occurred, this section of our site is a good place to start. It includes valuable insights on many important issues, such as the kinship order of precedence as it relates to making funeral arrangements, and a list of who you need to contact immediately. As always, if you would prefer to speak to someone directly, please call us.

Vital Information

Full Name:

Date of Death:

Address:

Telephone Number:

Email Address:

Date of Birth:

City and Province of Birth:

Father's Name:

Father's City of Residence:

Mother's Name:

Mother's City of Residence:

Mother's Maiden Name:

Spouse's Name:

Spouse's Maiden Name:

Survivors' Names and Cities of Residence:

Relatives Who Have Preceded In Death:

Occupation:

Business Type:

Company Name:

Church Membership:

Lodge or Union Name:

Veteran:

Branch of Service:

Serial Number:

Date Enlisted:

Date of Discharge:

Rank at Discharge:

Location of a Copy of Discharge (DD214):

Time of Military Service:

Military Honors at Graveside:

Flag Preference for Service:

Type of Service:

Visitation Hours:

Casket:

Person in Charge of Arrangements:

Officiating Clergy:

Pallbearers:

Flower Preference:

Music Selection:

Jewelry:

Glasses:

Casket Preference:

Disposition:

Outer Container Preference (for ground burial):

Cemetery Name:

Cemetery Location:

The Cemetery Property is in the Name of:

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file

516-249-1303

385 Main Street

Farmingdale, NY 11735

Email: williamlawtrudden@gmail.com

Immediate Need

Vital Information

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