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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 occurred.
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.
Affordable Cremation Solutions ~ 8560 Arlington Expressway, Jacksonville, Florida 32211
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