Contact Us

Plan Ahead

Obituaries & Tributes

Online At Need Form

 

 

Deceased Vital Statistics for Death Certificate

* First Name:

* Last Name:
Middle Name:
Sex:
 
 
Race:
Date of Birth:   
Place of Birth: City:

State:

Country:
Date of Death:   
City of Death:
State of Death:
County of Death:
Location of Death:

If other, please indicate address:
Name of the Place of Death:
Education  
Usual Occupation (most of life):
Kind of Business:
Company:
Marital Status:
 
Full Name of Surviving Spouse:
If Wife, Provide Maiden Name:
Residence - Street Address:
City/Town:
Inside City Limits:
 
County:
State:
Zip Code:
Length of Residence In County:
Father's Full Name:
Mother's Full Maiden Name:

 

Type of Disposition

Disposition Will Be:  
If Cremation, Indicate Preference For Disposition of Ashes?:
   
Name of Cemetery (if applicable):
 
City:
State:

 

Preparation and Viewing

 

Important Note: Viewing of the body is a choice of the family. In most cases, embalming is required or recommended for public viewing/visitation, mausoleum entombment, or transfer of remains via common carrier (i.e. shipment by air or rail). When possible, the funeral home needs authorization from the next of kin for embalming.

Except in certain cases, embalming is not required by law. Embalming may be necessary, however, if you select certain funeral arrangements, such as a funeral with viewing. If you do not want embalming, you usually have the right to choose an arrangement, which does not require you to pay for it, such as a direct cremation, immediate burial and/or one-time ID viewing for family only. If you elect NOT to order embalming, State law requires refrigeration of an unembalmed body that is held for over 24 hours from the time of death.

The Family Preference Regarding Viewing/Embalming Is:  
I Authorize Weed-Corley-Fish Funeral Homes & Cremation Services To Embalm:
   
Name of Authorizing Person:
 
Relationship To Deceased:

Veteran Information

Was Decedent Ever In the US Armed Forces?: Yes No (if no, continue to next section)
Branch of Service:
Date Enlisted:   
Date Discharged:   
Honorable Discharge: Yes No
Military Serial Number:
Is A Copy of Discharge Papers Available? Yes No (if yes, please bring for us to copy):

 

Informant/Person In Charge Information

 

First Name:
Last Name:
Relationship To Deceased:
Email Address:
Address:
City:
State:
Zip Code:
Telephone Number:

 

Funeral/Memorial Service Information

 

Preferred Place of Service:  
Religious Denomination:
 
Is there At Need Funeral Insurance on decedent?: Yes No
If Yes, Specify Insurance Type:
(i.e., Forethought, Purple Cross, trust, etc.)

Funeral/Memorial Service Information

 

Please list any other instruction or information you would like us to have:




 

At Need Form - Printer-friendly Version

 

You can download the printer-friendly version of the At Need Form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then print it out on your printer. You may then either mail or fax it to us at the address or fax number below, or bring it with you when you visit.

»   CLICK HERE to download the form - choose to, 'Save to Disk,' in the dialog box that appears (download times will vary depending upon connection.)

Get Adobe Acrobat Reader* NOTE: Adobe Acrobat Reader software is required to view this file - if you don't already have the Reader installed on your computer, it is available for free from Adobe's website - please click the icon at right to be taken to the download page.

Mail completed forms to the following address:

Weed-Corley-Fish Funeral Homes & Cremation Services
3125 North Lamar Blvd.
AustinTX 78705

Please call with any questions: (512) 452-8811

 

 

 

Loading Services ...

Immediate Need

If you have immediate need of our services, we're available for you 24 hours a day.

Obituaries & Tributes

It is not always possible to pay respects in person, so we hope that this small token will help.

Pre-Arrangement

A gift to your family, sparing them hard decisions at an emotional time.

Order Flowers

Offer a gift of comfort and beauty to a family suffering from loss.

3125 North Lamar Blvd. | Austin, TX 78705 | Fax: 512-452-8902 | Email: directors@wcfish.com