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Show me the manner in which a nation cares for its dead, and I will measure with mathematical exactness, the tender mercies of its people, their respect for the laws of the land, and their loyalty to high ideals.

William Ewart Gladstone (1809 - 1898)

If a Death Has Just Occurred

Immediate Need Form

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Personal Information of Deceased

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Middle Name*

First Name*

Date of Birth*

Date of Death*

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Personal Information of Person Legally Responsible for Disposition

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First Name*

Relationship to Deceased*

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