The information provided on this form will help us complete the death certificate and other required documents. Our wish is to expedite the process of finalizing the arrangements and make the process a little more comfortable.


After you have finished providing the information requested on the form below, our team will begin the process of filing a death certificate on your behalf. If you have any questions at all, please contact us — we are more than willing to help in any way we can.

If you wish to receive a copy of the death certificate, just let us know if you haven’t already done so. Please note, our filing of the death certificate is included in the direct cremation package — there are no additional fees to worry about.

First certified copy$20
Additional certified copies$13
Correction fee$95


Please complete the form below to the best of your ability. If you have any questions, please call us at 1-303-963-5836. We are here to serve you and your family in this often stressful time.

  • Step 1
    Informant Details
  • Step 2
    Decedant Details
  • Step 3
    Death & Disposition

Decedent Details

Information about the person who has died.

First Name, Middle Name, Last Name
Include AKA's, if any

Home Address

Decedent Home Address (Residence)*

Age & Important Dates

Type "0" if under 1 year.

Family Contacts

First Name, Middle Name, Last Name
First Name, Middle Name, Last Name

Education & Occupation

Specify only highest grade completed.

Give kind of work done during most of working life. DO NOT use retired.

Race & Ethnicity

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