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Immediate Need

If a Death Has Just Occurred

We are truly sorry for your loss and please know that we are here to support you and your family during this tough time.

If you haven't already, please give us a call at (214) 428-1266 whenever you need to. We'll take care of bringing your loved one into our care and schedule a time for you and your family to start the funeral planning process (over the phone or in person). If it's easier for you, you can fill out the form below to give us the details we need to get started faster.

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name

First Name*

Date of Birth*

Date of Death*

Social Security Number*

Free Text

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

Free Text

Physician Information

Name of Doctor Signing Death Certificate

Email Address

Business Telephone

Street

City

State/Province

Zip/Postcode

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name*

Middle Name

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/postcode

Primary Phone Number*

Secondary Phone Number

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law.

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Immediate Need

If a Death Has Just Occurred

Immediate Need Form