Cape Fear Crematory > Cremation Process Forms > Biographical Information Form

Biographical Information

Death Certificates are $10.00 each. ** Please allow, at a minimum, 10 working days to receive them.

# Death Certificates you require.

Deceased Full Name:

Sex

MaleFemale

Social Security Number:

Was Descendent of Hispanic origin?

NoYes

(Cuban, Mexican, Puerto Rican, etc.)

If Yes, specify:

Race: (American Indian, African American, Caucasian, etc.)

Deceased Residence: (Full Address)

Within City Limits?:

NoYes

County:

Formerly of: (if applicable; City, State)

Marital Status: (Married, Never Married, Widowed, etc.)

Surviving Spouse Full Name:

If wife, give maiden name:

Deceased Employed by:

Deceased Usual Occupation:

(Specify kind of work done during most of working life. Do not use retired.)

Kind of Business/Industry:

Highest Level of Education Completed:

Was deceased ever in the armed forces?:

NoYes

(Please provide a copy of the DD214 for VA claims; flag purposes; etc)

Deceased Birthplace: (County, State)

Foreign Country: (If applicable)

Deceased Date of Birth:

Age:

Deceased Father's Name: (First, Middle, Last)

Deceased Mother's Name: (First, Middle, Last)

Name/Address/Phone # of person providing information & relation to deceased:

Submit