BAKERSFIELD FUNERAL HOME FD1792

3125 19TH STREET

BAKERSFIELD CA. 93301

Click on a red PDF to open and print the indicated form in a new browser window.

At Need Forms - Full Packet

(Includes all forms listed below)

VITAL INFORMATION FORM

STATEMENT OF FUNERAL GOODS AND SERVICES

AUTHORIZATION FOR REMOVAL

AUTHORIZATION FOR CREMATION AND DISPOSITION

DECLARATION FOR DISPOSITION OF CREMATED REMAINS OR HYDROLYZED HUMAN REMAINS

KERN COUNTY SHERIFF'S OFFICE - CORONER SECTION -MORTUARY RELEASE FORM

DISCLOSURE OF PRENEED FUNERAL AGREEMENT

AUTHORIZATION/ CONSENT OF RELEASE

KERN COUNTY SHERIFF'S OFFICE - CORONER SECTION - AUTHORIZATION/ CONSENT

PHOTO & VIDEO RELEASE FORM

FIRST CALL FORM

Email Address

NAME

Telephone

1. NAME OF DECENDENT - FIRST

2. MIDDEL

3. LAST

4. AKA. ALSO KNOWN AS - INCLUDE FULL AKA (FIRST, MIDDLE, LAST)

5. DATE OF BIRTH MM/DD/YYYY

6. MALE OR FEMALE

7. BIRTH STATE / FOREIGN COUNTRY

8. SOCIAL SECURITY NUMBER

9. EVER IN U.S. ARMED FORCES

10. MARITAL STATUS (AT TIME OF DEATH)

11. DATE OF DEATH MM/DD/YYYY

12. HOUR (24 HOURS)

13. EDUCATION - HIGHEST LEVEL / DEGREE

14. OCCUPATION- TYPE OF WORK MOST OF LIFE. DO NOT USE RETIRED

15. KIND OF BUSINESS (E. G. GROCERY STORE, EDUCATION, ETC.)

16. YEARS IN THE OCCCUPATION

17. WAS THE DECEDENT SPANISH/HISPANIC/LATINO?

18. WAS THE DECENDENT NATIVE AMERICAN?

19. RACE

20. DECENDENT'S RESIDENCE (STREET AND NUMBER OR LOCATION)

21. CITY

22. ZIP CODE

23. COUNTY/PROVINCE

24. YEARS IN COUNTY

25. STATE/FOREIGN COUNTY

26. INFORMANT'S FIRST NAME

27. LAST NAME

28. RELATIONSHIP

29. INFORMANT'S FIRST NAME

30. INFORMANT'S PHONE NUMBER

31. NAME OF SERVIVING SPOUSE/SRDP - FIRST

32. MIDDLE

33. LAST (BIRTH NAME)

34. NAME OF DECENDENT'S FATHER - FIRST

35. MIDDLE

36. LAST

37. BIRTH STATE

38. NAME OF DECENDENT'S MOTHER - FIRST

39. MIDDLE

40. LAST (BIRTH NAME)

41. BIRTH STATE

42. TYPE OF DESPOSITION

43. PLACE OF FINAL DISPOSITION

44. NAME AND ADDRESS OF PERSON(S) WHO WILL KEEP CREMAINS AT THEIR RESIDENCE AND THEIR RELATIONSHIP, OR CEMETERY NAME ADDRESS, OR LOCATION WHERE CREMAINS ARE TO BE SCATTERED

45. PLACE OF DEATH

46. IF HOSPITAL, SPECIFY ONE

47. IF OTHER THAN HOSPITAL, SPECIFY ONE

48. COUNTY

49. FACILITY ADDRESS OR LOCATION WHERE FOUND (STREET AND NUMBER OR LOCATION)

50. CITY

51. PHYSICIAN'S NAME

52. PHYSICIAN'S PHONE NUMBER

Bakersfield Funeral Home
| 3125 19th St.
| Bakersfield, CA 93301
| Tel: 1-661-871-8080

Bakersfield Funeral Home
| 3125 19th St.
| Bakersfield, CA 93301
| Tel: 1-661-871-8080
|

Bakersfield Funeral Home
| 3125 19th St.
| Bakersfield, CA 93301
| Tel: 1-661-871-8080

Bakersfield Funeral Home
| 3125 19th St.
| Bakersfield, CA 93301
| Tel: 1-661-871-8080
| Fax: 661-249-6899

Home

Home

Obituaries

All Obituaries

Directions

Directions

About Us

About Us
Our Locations
Why Choose Us
Testimonials
Contact Us
Privacy Policy

Pre-Plan

Pre-Plan

At Need

At Need

Services

Services
Products
Urn Store
Ship Out
Price List

Veterans

Veterans Overview
Veterans Headstones
Veterans Burial Flags

Resources

Grief
Resources
Funeral Etiquette
When Death Occurs

F.A.Q.
Talking to Children
Cremation F.A.Q.

A year of daily grief support

Our support in your time of need does not end after the funeral services. Enter your email below to receive a grief support message from us each day for a year. You can unsubscribe at any time.