Vital Statistics Information Form

Form name - click to options set

Prefix

First Name

Middle Name or Middle Initial ( Type NA for None)

Last Name

Generational ID

Sex

MaleFemale

Social Security Number ###-##-####

Date of Birth

Age

State of Birth ( U= Unknown)

City of Birth ( U= Unknown)

County of Birth ( U= Unknown)

Country of Birth ( Answer Only If Not United States )

Decedent's Address

Street

City

State/Province

ZIP/Postcode

County

Inside City Limits

Was Decedent in Military of Armed Forces ?

Decedent's Last Occupation ( U= Unknown) ( D= Disabled)

Kind of Business or Industry ( U= Unknown) (N= None)

Last Employer ( U= Unknown) (N= None)

Marital Status

Spouse Name First, Middle Name or Middle Initial, Last ( If Wife, Give Maiden Name) ( N=None)

Decedent's Fathers Name First, Middle Name or Middle Initial, Last ( N=None)

Decedent's Mothers Name (Maiden Name) First, Middle Name or Middle Initial, Last Name should be Maiden Name ( N=None)

Sunset Memorial Chapel, Inc
| 33558 US Highway 280
| Childersburg, AL 35044
| Tel: (256) 378-7199
| Fax: (256) 378-7193

Home

Home

Obituaries

All Obituaries

About Us

About Us
Our Staff
Testimonials
Contact Us
Privacy Policy

Services

Services
Funeraria Espanol
Monuments and Headstones
Tribute Videos
Domestic and International Shipping
Fine Art Portrait
Horse-Drawn Hearse

Cremation

Cremation
Urns, Keepsakes and Jewelry
Art Glass
Vital Statistics Information Form
Questions About the Cremation Process

Directions

Directions

Resources

Frequent Questions
Grief Support

Veterans

Veterans Overview
Veterans Headstones
Veterans Burial Flags

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.