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Home
Obituaries
View All Obituaries
Send Flowers
Obituary Notifications
About Us
About Us
Our Staff
Our Locations
Testimonials
Services
Immediate Need
Cremation Services
Burial Services
Personalization
Veteran Services
Plan Ahead
Plan Ahead
Preplan Form
Preplanning Resources
Talk of a Lifetime
Resources
When Death Occurs
Frequent Questions
Social Security Benefits
Funeral Etiquette
Cremation Authorization Form
Notice For Newspaper
Vital Statistics Information
Grief Support
Grief Resources
The Grieving Process
Children & Grief
Contact Us
Home
Obituaries
View All Obituaries
Send Flowers
Obituary Notifications
About Us
About Us
Our Staff
Our Locations
Testimonials
Services
Immediate Need
Cremation Services
Burial Services
Personalization
Veteran Services
Plan Ahead
Plan Ahead
Preplan Form
Preplanning Resources
Talk of a Lifetime
Resources
When Death Occurs
Frequent Questions
Social Security Benefits
Funeral Etiquette
Cremation Authorization Form
Notice For Newspaper
Vital Statistics Information
Grief Support
Grief Resources
The Grieving Process
Children & Grief
Contact Us
vital statistics information
Vital Statistics Information
VITAL STATISTICS INFORMATION
Email
Gender
Male
Female
Birthdate
Birthplace (including county)
Free Text
Address
Street
Township
Boro/City
State or Country
County
Zip Code
Veteran?
Yes
No
Marital Status
Married
Widowed
Divorced
Never Married
Spouse (Including Maiden Name)
Father's Name
Mother's Name (Including Maiden Name)
Race
Occupation
Education
8TH GRADE OR LESS
NO DIPLOMA (9TH—12TH GRADE)
HIGH SCHOOL OR GED
SOME COLLEGE CREDIT
ASSOCIATE DEGREE
BACHELOR’S DEGREE
MASTER’S DEGREE
DOCTORATE
Free Text
Informant
Name
Relationship
Informant Mailing Address
Informant Phone Number
Free Text
Current Location
New Field:
Hospital: Inpatient Hospital: ER/Outpatient
Hospice
Nursing
Residence
Other
Facility Name (if appropriate)
Facility Address
County
Cemetery Name
Cemetery Address
New Field:
Burial
Cremation
Removal from State
Donation
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