Select a Cremation Package *$1395 | Basic Cremation Online arrangements. Professional basic services of the funeral directors and staff. Obtaining the cremation permit from the county in which the death occurred (Fees from the County Medical Examiner/Coroner are not included). Transfer of the deceased from the place of death to the funeral home. Our staff is available any time of the day or night. Submitting of Veteran Benefit Paperwork. Cremation at a licensed crematory. Step 1 TotalAdditional ServicesWhat is the approximate weight of your loved one?Under 350lbs - IncludedOver 350lbs - $175Where is your loved one located?Hospital IncludedMedical Examiner Office - $150Nursing Home - $125Hospice - $125Private Home - $250How would you like to receive the cremated remains?I will pick up the cremated remains at the Funeral Home. - Included.I would like to receive the cremated remains by mail. - $125.I would like assistance obtaining Certified Death Certificates. ($15 per copy) *Please enter 0, if you do not need assistance.Q1Q2Q3Q4Step 2 TotalMiddlesex Cremation offers the assistance to obtain a certified death certificate as an optional service. Families can obtain a certified death certificate directly from the county health department on their own. However, we are happy to obtain certified copies of the death certificate from the health department on your behalf and mail them to you.Caskets / Alternative ContainersAlternative Container IncludedSaturn Cremation Casket $545.00Natural Pine Cremation Casket $1,595.00UrnsBlack Plastic Transitional Urn IncludedLiving Urn $150.00Marbletone Urn $275.00Pewter Ginger Jar $375.00Gold Ginger Jar Urn $375.00Eternal Rose Ginger Jar Urn $375.00Blue Going Home Urn $375.00Pointed Top Black and Gold Urn $375.00Rounded Top Black and Gold Urn $375.00Trinity Urn $420.00Lighthouse Urn $420.00Hand Painted Orchid Urn $420.00Marbletone Companion Urn $450.00Cambridge Urn $475.00Teardrop Urn $485.00Executive Urn $495.00Bronze Chest Urn $590.00Homestead Walnut Urn $595.00Homestead Cherry Urn $595.00KeepsakesTrinity Crimson Heart Keepsake $105.00Pewter Heart Keepsake $105.00Brass Heart Keepsake $105.00Black and Gold Heart Keepsake $105.00Caskets TotalUrns TotalKeepsakes TotalStep 3 TotalPlease call us first and notify us that a death has occurred (978) 622-1234 We extend our deepest sympathies to you for your loss. Please call us first and notify us that a death has occurred. Completing this form does not notify us immediately. After you notify us, please proceed with your online arrangements.There may be additional costs associated with the transportation of your loved one into our care. The cost, if applicable, is calculated based on the distance between the "Location of the deceased" and our facility. If the location of the deceased lies outside of the service area, the cost will be calculated in your cart. Please contact us with any additional questions.Location of Deceased *Location of your loved one for transportation into our care.Information About the Person Completing This FormFirst Name *Last Name *Phone *Person for whom I am filing for:MyselfSpouseLife PartnerMotherFatherChildSiblingAunt/UncleOther RelativeFriendIf not "Myself", your relation to the deceased.Deceased Vital Statistics for Death CertificatePrefix *Please select an optionMr.Mrs.MissMs.Dr.Prof.Rev.First Name *Middle Name *Last Name *GenderMaleFemaleDate of BirthDate of DeathInformation Form OptionsI would prefer to provide as much information now as possible.I would prefer to provide more details later.City of Birth *State of BirthAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMarital StatusSingleMarriedDivorcedWidowedSeparatedDomestic PartnershipFull Legal Name of SpousePrefix *Please select an optionMr.Mrs.MissMs.Dr.Prof.Rev.First Name *Middle Name *Last Name *Maiden Name (If Applicable)Father's Full NamePrefix *Please select an optionMr.Mrs.MissMs.Dr.Prof.Rev.First Name *Middle Name *Last Name *Mother's Full NamePrefix *Please select an optionMr.Mrs.MissMs.Dr.Prof.Rev.First Name *Middle Name *Last Name *Mother's Maiden Name *Other InformationDeceased's Address *Residence Inside City Limits?YesNoEducationHigh SchoolAssociate DegreeBachelor's DegreeMaster's DegreeDoctorate DegreeProfessional DegreeOccupation (most of life) *Deceased of Hispanic Origin?YesNoRace *Veteran InformationIf your family would like a flag provided by the federal government, please email a copy of an Honorable Discharge Form (DD-214) to simplycremationofga@gmail.com.Was Deceased Ever In the US Armed Forces?YesNoBranch of Service *Final CostThe final estimated price is:$Enter your email *MessageSubmit ArrangementSave as DraftPlease do not fill in this field.
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