site image
site image

Vital Statistics

Vital Statistics Form

A. Information about the deceased

Decedent of Hispanic Origin?

Decedent Race

Choose highest level of education completed.

Veteran information

Employment History

Marital Status at time of death

Surviving spouse address

Informant information

B. Type of disposition

Anticipated Ceremonies

C. Preparation and viewing

D. Funeral/memorial service information

© 2022 Merritt Funeral Home. All Rights Reserved. Funeral Home website by CFS & TA | Terms of Use | Privacy Policy | Accessibility