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Direct Cremation
Water Cremation
Obituaries
MORE SERVICES

Vital Information

death certificate e-form

Our Death Certificate E-Form is an efficient and secure solution to streamline the process of obtaining official documentation for the passing of a loved one. This user-friendly electronic form is designed for your convenience, allowing you to complete this from the comfort of your own space.

Online Preplanning Form

1-3) Decedent Name

4) Date of Birth

5) Decedent Age

6) Gender

7) Date Of Death

8) Time of Death

9) Birth State or Foreign Country

10) Social Security Number

11) Ever In US Armed Forces?

12) Marital Status

Married

Never Married

Widowed

Divorced

13) Highest Education Level

14-15) Hispanic, Latino, or Spanish?

16) Race(s)

17) Usual Occupation

18) Kind of Business Industry

19) # Of Years In Occupation

19b) Was Decedent Homeless?

20-21,23, 25) Residential Address

22) Country of Residence

24) # Of Years in County

31-33) Father's Name

34) Father's Birth Place

#35-37) Mother's Name

38) Mother's Birth Place

40) Where Will The Remains Rest At?

Ashes at Home (Urn)

Solidified Ashes (Stones)

Ashes Burial Cemetery

Ashes Scattering (Water, Land)

Human Compost Remains

Undecided

#40b) Name of Final Resting Place

#40c) You: Address of Final Resting Place

#41) Type of After Care

Cremation (Traditional)

Mortuary Shipping

Burial

Human Composting

Green Burial

Undecided

26b) Relationship to Decedent

27c) Phone Number With Area Code

27) Informant's Mailing Address

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CONTACT US

Still Waters Cremation Services

Address: 3435 Camino del Rio S

Ste 217, San Diego CA 92108

Phone: 619-268-5339

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