FOR IMMEDIATE SERVICE

If death has occurred, please accept heartfelt condolences from our family to yours.

 

 

 

Call us right away to assist you and to answer your questions at this very difficult time (209) 400-7625.

Please fill the following form and submit to start the arrangements.

Decedent’s Information:

Name

Date of Birth
Country or State of Birth
Date of Death
Social Security Number
Ever in the US Armed Forces?
Marital Status
Highest Education Level
Was Decedent Hispanic/Latino/Spanish ?

Decedent Race (May use up to 3 choices)

Surviving Spouse:
Decedent’s Father:
Decedent’s Father Birth Country or State:
Decedent’s Mother:
Decedent’s Mother Birth Country or State:

Medical Information:

Where is your loved one now?
HospitalNursing HomeResidenceCoroner
Facility Name
City
Address
Physician's Name
Physician's Phone
Residence Address

Informant’s Information:

Informant’s Name
Informant’s Relation
Informant’s Address
Informant’s Phone
Informant’s E-mail