Vital Stats

Vital Statistics Information

Deceased Full Name (Include Middle Initial)

Deceased's Address

Street

City

State/Province

ZIP/Postcode

Place of Birth / City and State

Race / Ethnicity

Date of Birth

Age

Father's Name

Mother's Name (Include Maiden Name)

Marital Status

If married spouse's name (if wife include maiden name)

Occupation for most of working life

In what industry

Veteran

YesNo

Which branch

SSN

Highest Level of Education

Informant / Next of Kin

Informant's Address

Street

City

State/Province

ZIP/Postcode

Anti-Spam Security Question

Contact Us

Raffeo-DiCecco
| 19 East Germantown Pike
| Norristown, PA 19401
| Tel: 610-630-3259
| Fax: 610-594-9025
| Directions

You are welcome to call us any time of the day, any day of the week, for immediate assistance. Or, visit our funeral home in person at your convenience.

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