YOUR LOVED ONE’S PERSONAL INFORMATION, INCLUDING:

Legal full name*

Home address

Social Security number*

Date and state of birth*

Father’s name and place of birth* (state/county)

Mother’s full maiden name and place of birth* (state/county)

Photo ID

A recent color picture of your loved one

Names/relationships of survivors

Photo ID (Next of Kin)

Physician’s information (please include phone number)

Cemetery information (please include address & phone number)

Clergy/place of worship information (please include address & phone number)

Any pre-existing arrangements/insurance policy information

Military discharge papers (DD-214)

 *Please note that the state of California requires these items to complete the Death Certificate