Arrange a Cremation - City Cremation

Decedent's Residence*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
County of Residence
Years in County*

Informant's Name*
First Last
Relationship to Decedent*
Informant's Phone*
Informant's Email*
Informant's Address*
Street Address Address Line 2 City State ZIP Code
Did the decedent have a PreNeed Arrangement with Pacific Interment?*
- Yes
- No
The decedent verbally named me to control the disposition of his/her remains.
- Yes
- No
The decedent named me to control the disposition of his/her body in a will or other document..
- Yes
- No
I am the decedent or decedent's spouse, child, parent or nearest other relative.
- Yes
- No

Arranging a Direct Cremation