At Need Form

Please note: this form is for families who have experienced a death. If you are planning in advance, please use our pre-need form. If a death has occurred, all of the information below will be needed to complete the death certificate and facilitate the cremation process. We invite you to use this form to send the information to our staff. Please be sure to call the cremation society directly to confirm receipt of this form.

This form is not considered a means of informing us that a death has occurred or contracting our services. In the event of the death of a loved one, please contact us by phone at 877-801-8168 to notify us.

Membership Form


Work History

Military Service

Private family viewings take place during normal business hours. They consist of up to ten people for up to thirty minutes. The remains are prepared for viewing (without embalming) and an upgraded cremation container selection is suggested.

Information of individual completing this form (informant)

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Including Bridgeport, Danbury, Hartford, New Britain, New Haven, Norwalk, Stamford, Waterbury, West Hartford, Ansonia, Bristol, Darien, East Hartford, East Haven, Manchester, Meriden, Middletown, Milford, Naugatuck, Newington, New London, North Haven, Norwich, Shelton, Storrs, Stratford, Torrington, Trumbull, Wallingford, West Haven, Westport, Wethersfield, Willimantic and the counties of Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland and Windham.

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