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Push button for menu

Home
About
Pre-Plan
- Pre-Arrangements
- Talk of a Lifetime
Celebration
Cemetery
- Overview - Crown Hill Memorial Park
- Options
Veterans
Obituaries
Testimonials
Resources
Contact Us

Vital Statistics Form

Name: Hughes Family Tribute Center
Address: 9700 Webb Chapel Road, Dallas, TX, 75220
Telephone: 1-214-350-9951
Price range: $$$$

In this section

Grief Support

Funeral Etiquette

When Death Occurs

Social Security Benefits

Vital Statistics Form

Vital ICE App and Vitalboard

Vital Statistics Information

Full Legal Name of Deceased

Sex

MaleFemale

If Female, Maiden Name (Name before she married)

Date of Birth

City & State or City & Foreign Country of Birth

Social Security Number

Race

Was Decedent in US Armed Forces

YesNo

Was Decedent ever a Peace Officer (Police Officer) in Texas

YesNo

Education

8th Grade or Less

9th-12th, No Degree

High School Graduate or GED

Some College, No Degree

Associate

Bachelor's

Master's

Doctorate

Marital Status

MarriedNever MarriedWidowedDivorced

If Married, Surviving Spouse's Full Name ( include maiden name, if wife)

Decedent's Usual Occupation During Most of Life

Kind of Business or Industry

Decedent's Residence Street Address:

Street

City

State/Province

ZIP/Postcode

Is Residence Inside City Limits

YesNo

Decedent's Father's Name

Decedent's Mother's Full Name (including maiden name)

Name & Relationship of Informant

Mailing Address of Informant:

Street

City

State/Province

ZIP/Postcode

Phone Number of Informant

Number of Certified Copies of Death Certificates:

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DFW Metroplex, Dallas, Plano, Irving, Carrollton, Farmers Branch, Garland, Flower Mound, Coppell, Grand Prairie, Hurst, Euless, Bedford, Fort Worth, Denton, McKinney, Duncanville, Cedar Hill, , Richardson, Lancaster, DeSoto, Wilmer, and Lewisville.

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