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Cell: 678-793-7422 · Email: scotthuskins55@gmail.com

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RESOURCE FORMS

Downloadable PDF Forms

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State of Georgia Cremation Authorization Form

Please click on the graphic on the left to download the file.


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State of North Carolina Cremation Authorization Form

Please click on the graphic on the left to download the file.


Form to be Completed on Website

Please use the Death Certificate Details Form shown below to provide us with details needed to complete a certified death certificate.
 Please complete fully and send securely by using the 'Submit Information' button at the bottom of the form.

Death Certificate Details

Decedent's Information

(First Middle Last) As shown on social security card
Last name prior to first marriage
State County
Month/Day/Year
Month/Day/Year
(xxx-xx-xxxx)
City, State OR Country, City
Last name prior to first marriage

Marital Status

Required if Married or Widow/Widower
Last name prior to first marriage

Work/Education History

Military Record

Ethnic Details

Informant's Details

Please Check Form Prior to Submitting

When submitting this form, please ensure all details provided are accurate to the best of your knowledge as this form will be used to generate a record with the state for a legal, certified death certificate.
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