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Vital Information

My Funeral, My Cremation, My Way ®

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Vital Information

If you have just experienced the loss of a loved one, please call us at (650) 756-4500 to assist you with making all the arrangements. We have staff available to assist you 24 hours a day.

You are welcome to complete the following form, to provide accurate information required for the legal death certificate. At this time a minimal number of required fields are marked with an "*".

Your funeral director will assist you in completing this form and all other necessary forms.

 

Information About The Person Completing This Form

 
 
 
 
 
 

Information About The Deceased

 
 
 
 
 
 
 
 
 
 
 
 
 

Armed Forces Information

 

Duggan's Serra Mortuary®
Phone:
(650) 756-4500
500 Westlake Avenue, Daly City, CA 94014
CA FD# 1098

 

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