Biological Information Form Online

Date

Deceased Full Legal Name

Deceased Sex

Deceased Race

Address

City

State

Zip Code

Inside City Limits

Deceased Place of Birth

Deceased Birthday

Deceased Education Level Completed

Deceased College

Deceased Veteran of Service

Deceased Occupation

Deceased Social Security Number

Deceased Type of Business

Name of the Decedent's Father

Name of the Decedent's Mother / MAIDEN name

Spouse Name if Applicable

Name of the Person Responsible for Information and Arrangement

Relationship to the Decedent

Person Responsible for Information and Arrangements Address

Best Phone Number for us to Reach You

Special Instructions

*By signing below, I agree that the above information is true and correct. Any errors may lead to additional costs in correcting state documents.

Signature of person in charge of arrangements

Initials

Upload File

*Optional. Upload Deceased Birth Certificate, Driver's License, and Imagine for their Obituray.

I confirm that the information given in this form is true

Thank you for submitting biographical Information of a loved one to Lankford Funeral Home.

Someone will be in touch with you shortly.