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Information Form

Use this form to provide us with the necessary information which will be used for making funeral arrangements and providing necessary vital statistics required for state and federal forms. If you would like to speak to a funeral director after submitting this form, please call 609.971.6800 otherwise our staff will retain this information for the Funeral Recipient's file.  You will see a confirmation of successful submission on screen, if not, review form for required missing information highlighted in red and resubmit.

Information Form

(If place of death will be at the Funeral Recipient's residence, skip section,

Please use the area above to enter the name of family members and relationship to the deceased who have used our services.

Work/Education History

Military Record

(if applicable)

Information about yourself

Next of Kin, Funeral Agent, Court Appointed Guardian

Visitation and Service Information

Disposition Information

(if applicable)
(if applicable)
(if applicable)

Summary Details

Required Permissions granted to Layton's home for funerals

If you selected a funeral that may require embalming such as a funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve if you selected arrangements such as a direct cremation or immediate burial unless the embalming is required by the State of New Jersey.

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