Online Planning Form | Spring Grove Cremation Society

Information about the person completing this form

I am planning for*

Name*

Prefix First Last Suffix

Middle

Phone*

Email*

Address

Street Address Address Line 2 City State ZIP Code

County

Would you like to prepay?*

Yes
No

Information about the person you are planning for

All the following Information is used to generate death certificates in the state of Wisconsin.

Name*

Prefix First Last

Middle

Gender

We service the following counties: Milwaukee, Waukesha, Washington, Ozaukee

County the person you are preplanning for lives in?*

Marital Status*

Last name at birth:*

Date of Birth*

MM

DD

YYYY

Place of Birth*

Spouse's Full Name*

Spouse's Maiden Name*

Mother's Full Name*

Mother's Maiden Name*

Father's Name*

Work and Education

Education (Primary)

Years Attended

College (1-5+)

Years Attended

Usual Occupation (most of life)

Kind of Business

Military Records

Branch of Service

Person(s) to Finalize Arrangements at Time of Death

Full Name

Street Address

City

State

Zip

Phone

Email*

Comments

This field is for validation purposes and should be left unchanged.