Services Overview

If A Death Has Just Occured

Immediate Need Form

Personal Information of Deceased

Personal Information of Deceased

Last Name*

Middle Name

First Name*

Date of Birth*

Date of Death*

Time of Death

Social Security Number

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

Physician Information

Name of Doctor Signing Death Certificate

Email Address

Business Telephone

Street

City

State/Province

Zip/Postcode

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?

254-662-2131

3124 Robinson Drive
Waco, TX 76706

pecangrovefuneral@gmail.com

SUPPORT AFTER A LOSS

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View information for consumers relating to the purchase of preneed funeral contracts including descriptions of the trust and insurance funding options available under state law. Complaints concerning perpetual care cemeteries or prepaid contracts should be directed to: Texas Department of Banking, 2601 N. Lamar Blvd., Austin, TX 78705; 1-877-276-5554 (toll free); www.dob.texas.gov