Pre-Planning (Funeral Home)
Immediate Need
Cremation Authorization
Vital Statistics
Contact Us
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Submit a Testimonial
Information for Death Certificates
Obituary Information
Program Information
Pre-Planning (Crematory)
Ask the Funeral Director
Pre-Planning (Funeral Home) – McCorkle
Tjfluehr Newsletter
Giving Back
Prearrangement Transfer
Immediate Need Mid Maine
Pay for Services Mid Maine
Free Planning Guide
✕
Hidden
Domain
Your Information
Your Name
(Required)
First
Last
Your Email
(Required)
Your Phone Number
(Required)
Deceased's Information
Vial Statistics of Deceased
Step 1
First Name of Deceased
(Required)
Middle Name of Deceased*
(Required)
Last Name of Deceased*
(Required)
Home Address
City*
(Required)
State*
(Required)
Zip Code*
(Required)
Gender:
Male
Female
Social Security Number
Family Information
Step 2
Family Information
Never Married
Divorced
Married
Widowed
Domestic Partner
Spouse/Partner First Name
(Required)
Spouse/Partner Middle Name
(Required)
Spouse/Partner Last Name
(Required)
Spouse/Partner Maiden Name (If Female)
Father’s First Name
(Required)
Father’s Middle Name
(Required)
Father’s Last Name
(Required)
Mother’s First Name
(Required)
Mother’s Middle Name
(Required)
Mother’s Last Name
(Required)
Phone
(Required)
Biographical Information
Step 3
Race (white, black, American Indian, etc.)nt Spouse/Partner Name
Ancestry (American, French, Irish, etc.)
Birth Address
(Required)
Birth City
(Required)
Birth State
(Required)
Birth Zip Code
(Required)
Birth Date
MM slash DD slash YYYY
Age
Professional History
Step 4
Occupation (kind of work done most of life, not retired)
Kind of business or industry employed with
Years of education, elementary/secondary
College degree
Informant (next of kin to contact)
Step 5
First Name
(Required)
Middle Name
(Required)
Last Name
(Required)
Relationship
Telephone
Telephone Mode
Landline
Cell Phone
Informant Physical Address
(Required)
City
(Required)
State
(Required)
Zip Code
Informant Mailing Address
(Required)
City
(Required)
State
(Required)
Zip Code