ABOUT US
OBITUARIES
RESOURCES
SERVICES
PLANNING AHEAD
CREMATION PACKAGES

ABOUT US
OBITUARIES
RESOURCES
SERVICES
PLANNING AHEAD
CREMATION PACKAGES

Services

If a Death Has Just Occurred

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name*

First Name

Date of Birth*

Date of Death*

Approximate Time of Death*

Free Text

Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name:

Middle Name:

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/postcode

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

Thank you! Your submission has been received!

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Fred Whiteley, Manager

NJ Lic No. 4116

A Year of Grief Support

Sign up for one year of weekly grief messages designed to provide strength and comfort during this challenging time.

© Lighthouse Cremation. All Rights Reserved.

© Lighthouse Cremation. All Rights Reserved.

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