On-Site Crematory Phone: 360-734-0070 Toll-free: 1-800-489-0070

FORMS AND CERTIFICATES


 

On-line Pre Need/At Need Form 

Thanks for taking the time to fill out our Pre Need/At Need Forms. By completing the following information at your own convenience, you should find it easier to provide correct information and have some time to think about the type of services you desire.

The information provided on these forms will help Jerns Funeral Chapel and you the family complete the death certificate, meet Washington State RCW requirements and other internal funeral home documents. In addition, this information will assist the funeral director to better understand your initial wishes and drastically reduce time during the arrangement conference. Relaying required statistical information can be time consuming. Our desire is to help expedite the final arrangement conference at the funeral home and make the process a little more comfortable.

Please complete (as much as possible) the information on the forms; print out the form and bring it with you to the arrangement conference or fax.

If you have any questions whatsoever, please contact Jerns Funeral Chapel at: (360) 734-0070 or email: info@jernsfuneralchapel.net

 

All forms below are in .PDF format and require the latest version of the Adobe Acrobat Reader


 

Authorization to Embalm and Prepare

 


 

Confirmation of Identification With Out Viewing

 


 

Cremation Authorization

 


 

Obituary Worksheet

 


 

Death Certificate Order Form (Whatcom County)

 


 

 

Cremation Facts Booklet

 

 


 

Washington State Death Certificate Worksheet

 


 

VA Marker Order Form

 


 

VA Burial Benefits

 


 

VA Burial and Plot Interment Allowances Summary

 


 

Navy Honors Request Form

 


 

 VA Flag Application

 


 

 

 

 

 

 

 

 

 

 

 

 

800 East Sunset Drive | Bellingham, WA 98225 | Phone: 360-734-0070 | Fax: 360-733-4221 | Email: brad.bytnar@jernsfuneralchapel.net