Submit via email 8:00-5:00 Mon - Fri ** PRELIMINARY INFORMATION FORM ** WAUKESHA COUNTY MEDICAL EXAMINER'S OFFICE 515 West Moreland Boulevard Waukesha, Wisconsin 53188 (262) 548-7575 FAX (262) 896-8079.
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How to fill out the Waukesha County Cremation Request Form Fillable online
Filling out the Waukesha County Cremation Request Form is an important step in the cremation process. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the section labeled 'Name of Deceased', enter the full name of the individual who has passed away. Ensure that the spelling is correct for accurate documentation.
- Fill in the 'Home / Street Address', 'City', 'State', and 'Zip Code' for the deceased. This information identifies the location of the deceased's residence.
- Next, provide the 'Date of Birth' and 'Date of Death' of the deceased. Use the correct format to avoid any confusion.
- Indicate the 'Age' of the deceased and the 'Time of Death' to provide precise details regarding the passing.
- Enter the name of the 'Physician Pronouncing Death' and specify who signed the 'Death Certificate'. This information is vital for official records.
- Describe where the death occurred by specifying the location (hospital, residence, etc.).
- Fill in the 'Name and Location of Funeral Home' along with the 'Funeral Director's Name' and 'Funeral Home Phone Number' for reference.
- Complete the section titled 'Name of Person Requesting Cremation' and include their relationship to the deceased.
- Provide the requestor’s 'Street Address', 'City', 'State', and 'Zip Code'. Ensure contact details are accurate.
- Specify if 'Direct Cremation' and 'County Burial' applies by selecting 'Yes' or 'No' for each option.
- If the body will 'Lie in Repose', indicate the date and time. Also, mention the current location of the body.
- State whether an 'Autopsy' was performed and provide details if applicable.
- Lastly, fill in the information regarding where the cremation will take place.
- Once all sections are complete, save your changes, and choose to download, print, or share the form as needed.
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