site image

Arrange a Cremation Now Form

Please carefully read the instructions before beginning.

You will be asked a series of questions required by the State of California to complete a death certificate. There may be information you do not know. Please try to be as thorough as possible because this information will be printed on the death certificate. Here is some information you will need along the way.

  • Decedents social security number, place of residence, work history, education, and marital information.
  • Decedents parents information (name and state of birth).
  • Physicians information

Important to Note – No form field can be left blank. Use the term "Unknown" for any information you do not have. The word "Unknown" will be printed on the death certificate for these fields.

Once the information has been gathered you will be prompted to print the forms, which will have the information you just entered auto-populated. Please sign and date the necessary areas. These areas will be marked with red symbols, so they are easy to find. Once completed, fax the form to (415) 861-9866. If you have any difficulties feel free to email us at, or call us at (415) 431-4900.

Arrange a Cremation Form

(check all that apply)

include full AKA - first, middle and last
If born outside the US

Name of Hospital, Nursing Home, Funeral Home or Country Coroner
Street & Number
If resided outside the US
If resided outside the US

Select the highest degree or level of school completed
grocery store, insurance, etc.
Do not use "Retired" or "Unemployed"-enter most recent occupation

(Select up to 3)

Please enter the name and birth state of the Father of the decedent:

If born outside the US

Note: those seeking "Scattered at sea" must select "Residence" first and then "Scattered at sea."

Total Country Fees: $12 Each

Where shall the ashes be shipped?

© 2024 The Duggan Welch Family San Francisco. All Rights Reserved. Funeral Home website by CFS & TA | Terms of Use | Privacy Policy | Accessibility