Cremation Services

Name: Cremation Services
SKU: 134
Price: 995.00 USD
Availability: InStock

$995.00

1Pickup Confirmation

2Representative Information

3Cremation Authorization Form

4Vital Statistics Form

What County are we picking up the deceased from?*
We currently offer local service to Delaware County, Chester County, Montgomery County and Philadelphia County. For New Jersey, DE, and other counties in PA please call us at (610) 545-3185.
Transfer of remains to crematory from place of death*
We will ask for this address in the Cremation Authorization Form
How many copies of the Death Certificate will you need? ($20/ea) Quantity*
Price: $20.00
Crematory Permit Fee*
- $300
Medical Examiner Authorization Fee*
- $50

Agreement 01*
- I (hereinafter referred to as the "Authorized Representative") hereby certify that I have the legal right pursuant to 20 PA.C.S. § 305 to sign this cremation authorization form in order to authorize and direct Compassionate Care Cremation, Marvil Funeral Home, Ltd. and Delaware County Crematory, LLC to cremate, in accordance with its rules and regulations, the human remains of:
Name of Decedent*
Date of Death*
MM slash DD slash YYYY
Age*
Gender*
Place of Death
Street Address*
City*
Township*
County*
State*
Zip*
Agreement 02*
- I hereby certify my relationship to the Decedent as listed above, that I am 18 years of age or older, of sound mind and I am not aware of any living person who has superior or equal priority right to my right under 20 PA.C.S § 305 regarding the right to dispose of the Decedent's remains. In the event there is another living person who has superior or equal right to mine, I hereby represent that I made all reasonable efforts to contact such person(s) to no avail and I further represent that I have no reason to believe that such person(s) would not object to the cremation of the Decedent's remains. I further certify that the Decedent's remains do not contain a pacemaker or any other material or implant that may be potentially hazardous or cause damage to the cremation chamber or the person performing the cremation on behalf of Compassionate Care Cremation, Marvil Funeral Home, Ltd. and Delaware County Crematory, LLC. I understand, acknowledge and accept that due to the nature of the cremation process, any valuable material, such as dental gold, jewelry, etc., will be destroyed otherwise I accept the fact that such items will not be recoverable and I hereby represent that such personal possessions have been removed from the Decedent otherwise I understand that such personal items shall be destroyed. I also understand that the Decedent's cremated remains shall be retuned in a uniform crushed state to the best of Compassionate Care Cremation, Marvil Funeral Home, Ltd. and Delaware County Crematory, LLC's ability and that the Decedent's cremated remains shall be returned, as I directed, in a temporary cardboard container, unless I otherwise instruct in writing.
Agreement 03*
- I hereby release, discharge, defend, indemnify and hold harmless, Compassionate Care Cremation, Marvil Funeral Home, Ltd., and Delaware County Crematory, LLC, including its managers, officers, members, employees, agents, in its corporate capacity (and their individual capacities), and its respective successors and assigns, against any and all claims, expenses, including legal fees, actions, suits and citations and from any and all liability, and any and all loss of whichever kind that may arise in any manner directly or indirectly related to the cremation of the Decedent's remains, including, but not limited to, any and all damage or loss caused directly or indirectly by the shipment of Decedent's cremated remains.
IN WITNESS WHEREOF, the undersigned, intended to be legally bound hereby, has executed this Cremation Authorization Form as of the date set forth above.
- Same as Before
Print Name Here*
Street Address*
City*
State*
Zip*

Essential Information
- Copy Provided Decedent Info
Decedent's Legal Name*
Sex*
The Funeral Director will ask you for the deceased's SS# when they call. We do not capture the number here for security reasons. However, this information is required to complete the process.
Date of Death M/D/Y*
MM slash DD slash YYYY
Date of Birth M/D/Y*
MM slash DD slash YYYY
Age on Last Birthday*
Residence
- Same as Place of Death
Street Address*
City*
County*
State*
Zip*
Inside City Limits?*
Place of Birth
Birthplace City*
County*
State/Province*
Additional Information
Ever in U.S. Armed Forces?*
Marital Status at Time of Death*
Surviving Spouse's Name
Father's Name*
Mother's Name*
Informant's Name*
Relationship to Decedent*
Mailing Address*
Decedent's Education*
That best describes the highest degree or level of school completed at the time of death.
Decedent of Hispanic Origin?*
Check the box that best describes whether the decedent is Spanish/Hispanic/Latino. Check the "No" box if decedent is not Spanish/Hispanic/Latino.
Please Specify*
Decedent's Race*
Decedent considered himself or herself to be.
Name of the Enrolled or Principal Tribe
Please Specify
Decedent's Usual Occupation*
Indicate type of work done during most of working life. DO NOT USED RETIRED.
Kind of Business/Industry*

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Category: Uncategorized

Cremation Services

Place of Death

Essential Information

Residence

Place of Birth

Additional Information