Name: St. Louis Cremation
Address: 2135 Chouteau Ave, St. Louis, MO, 63103, United States
Telephone: 314-241-8844
Price range: $$$

Name*

First Last

Home Address

Street Address Address Line 2 City State ZIP Code

County

Is this address in the city?

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Phone*

Birth and Death

Date of Birth

City Of Birth

State of Birth

Place of Death, or expected place of death

Home
Medical Examiner
Hospital/Nursing Home (Specify Below)

Hospital/Nursing Home

Personal Information

Race

Are you hispanic

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No

If yes

(Cuban, Mexican, Puerto Rican, etc.)

Mother's Name (Maiden Name)

First Last

Father's Name

First Last

Marital Status

If Married or separated, Spouse's

First Last

Education Level

Usual Occupation

Type Of Company

Person in charge of your arrangements - Next of Kin

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone*

Email

Witness*

Comments

I hereby certify that I am the nearest degree of relationship to the deceased and that I have the legal right or am charged to authorize this cremation and the disposal of the cremated remains. I understand that due to the nature of the cremation process, any personal possessions or valuable materials, such as dental gold or jewelry (as well as any body prosthesis or dental bridgework), that are left with the decedent and are not removed prior to cremation will be destroyed or if not destroyed, will be disposed of by St. Louis Cremation Service. I further agree that I will indemnify and hold harmless the Cremator and Funeral Director, their officers and employees from any liability, costs, expenses or claims resulting from this authorization.

Authorization*

Yes, I authorize the cremation
Yes, I authorize the cremation for myself

I give St. Louis Cremation authorization for cremation and I understand that this is my digital signature.

Once you have completed the Arrangement form, please press the submit button and your information will be sent to our trusted staff. Thank you for choosing St. Louis Cremation. To verify we have received your form, please call 314-241-8844.

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Call Us 24/7: 314-241-8844

$2,895

Simple Cremation With Viewing

We Bring Your Loved One Into Our Care

All Necessary Paperwork

Five Certified Copies Of Death Certificate

Embalming

Cloth Covered Casket

Use Of Chapel For Two Hours

Cremation

$175 Urn Allowance

Birth and Death

Personal Information

Person in charge of your arrangements - Next of Kin