Vital Statistics Form
We feel one of the most caring things anyone can do for their family is to prepare and plan in advance. We understand the need and sensitivity of planning one’s arrangements. Planning eliminates the uncertainty and confusion about one’s wishes.
Please fill in the following spaces below and we will keep all your information on file and send you an I.D. card for your wallet. If you would like further help with this matter or more information you can call us at (530) 342-9003.
Please Complete Only Those Options That Apply
NOTE: This information is needed for the death certificate only.
TIP: Press the TAB key to move to each form field
Newton Bracewell Funeral Homes are committed to respecting the privacy of our website visitors. Any data which you provide us is not shared with third parties unless required by law. Personally identifiable information will not be sold, rented, or exchanged with any other organization or entity unless you are first notified and expressly agree to it.
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Any changes to these policies will be posted on this page.