Cremation Society™ of Oklahoma
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918.347.6793

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Featured Testimonial
I wanted simple cremation plans for my father and I but our local funeral home here couldn’t help me for less that $6000 dollars. My neighbor told me about the Cremation Society of Oklahoma. When I talked with them they provided me exactly what I wanted and in a price that was reasonable. The fact that we lived more 75 miles away was not a concern.
- Taylor G.

Death Certificate Worksheet

During each arrangement conference our cremation specialists will be asking for the deceased’s vital information. Once collected, this information will be used for the completion of the Death Certificate, notification to Social Security and claim forms for Veterans. This form will create the actual Oklahoma Death Certificate. Complete ACCURACY is paramount.

When Completing these 28 Necessary Fields - Check for Accuracy!

Decedents's Legal Status
First, Middle, Last, Suffix:
Last Name Prior to 1st Marriage:
Decedent's Gender:
Decedent's Social Security Number:
Ever in US Armed Forces?
Date of Birth:
Birthplace
City & State:
or Foreign Country:
Residence Information
State:
County:
City or Town:
Zip Code:
Inside City Limits?
Street & Number:
Apartment Number:
Marital Status at time of Death:
Surviving Spouses Information - if Wife, Give Name Prior to First Marriage
Surviving Spouse's Name:
Decedent's Fathers Name
(First, Middle, Last):
Mother's Name Prior to First Marriage
(Mother's First, Middle, Maiden):
Decedent of Hispanic Origin?
Spanish/Hispanic/Latino:
Yes Other (Specify):
Decedent's RACE:
White
Black or African American
American Indian or Alaska Native
(name of enrolled or principal tribe):
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
(specify):
Pacific Islander
(specify):
Other
(specify):
Decedents Education
(Check the box that best describes highest degree or level completed at time of death)
8th grade or less
9th - 12th grade, no diploma
High school graduate or GED completed
Some college credit, but no degree
Associates degree (i.g. AA, AS)
Bachelor's degree (e.g. BA, AB, BS )
Master's degree (e.g. MEd, MA, MS, MEng, MSW, MBA)
Doctorate (PhD, EdD) or Professional degree (MD, JD)
DECEDENT'S Occupation Information
(Check the box that best describes highest degree or level completed at time of death)
Decedent's USUAL Occupation:
Kind of Business | Industry:
Death Certificate Informant's Information
Informant's Name:
Relationship to Decedent:
Mailing Address (Street & Number, City, State, ZIP):
Informant's Phone Number:
Informant's Email:

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2103 East 3rd Street, Suite 101, Tulsa, OK 74104
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Cremation Society™ of Oklahoma - Tulsa Cremation
Located at 2103 East 3rd Street, Suite 101, Tulsa, OK 74104.
Phone: (918) 347-6793.
Website: .