Cremation Registration and Declaration Form Name* First Last Phone*Email* The following instructions are what I want done after my death in regards to my cremation decision:This is what I want done with my ashes: Burial Scatter Place in a National Cemetery at no cost to my family Choose one of the 3 items below: I do want a memorial service I do not want a memorial service I have no opinion regarding a memorial service Choose one of the 3 items below: I do wish to have my body viewed before cremation I do not wish to have my body viewed before cremation I have no opinion regarding my body being viewed before cremation Would You Like to Receive a 90 Second Prearrangement Form? Yes, Please Send Me a Form No, Thank You Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CAPTCHA Δ