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The information below is being collected to complete the death certificate. Please note that this form is not a means of notifiying us if a death has occured. In the event of an emergency, please call our offices at 203-269-6484. If you would prefer to make these arrangements together in person, please contact us and we would be happy to make arrangements to do so.

    Please complete the following. All information being collected is data pertaining to the person whose services are being arranged. If you are completing this on behalf of someone else, your information will be collected at the very bottom.

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