Immediate Need

If a Death Has Just Occurred

First and foremost, please accept our deepest condolences for your loss. We understand how overwhelming this time can be, and we want you to know that we are here to support you and your family every step of the way.

If you haven’t done so already, we encourage you to contact us immediately at 1-801-250-2624, available 24/7. We will promptly make arrangements to bring your loved one into our care, ensuring that they are treated with the utmost respect and dignity. We will also coordinate with you to find a time that is most convenient for you and your family to discuss the details and arrangements that reflect the unique life and legacy of your loved one.

To help us better assist you and expedite the process, you may also fill out the form below. Providing this information in advance will allow us to begin preparations more quickly, so we can focus on what truly matters: supporting you during this time of need.

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name*

First Name*

Date of Birth*

Date of Death*

Time of Death*

Social Security Number*

Free Text

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

Free Text

Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name*

Middle Name*

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/Postcode*

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?