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Online Information Form

Vital Statistics

​Please fill this form out with accurate information paying close attention to details.
This form will be used in compiling demographic information listed on a certified Death Certificate when and after the death has occured.

This form DOES NOT automatically enable Affordable Cremation Solutions to transfer your
loved one into our care, a phone call must be made requesting our service.

Phones are answered 24 hours a day 7 days a week.

(904) 683-5427

Deceased Information