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Push button for menu

Home
About
Pre-Plan
- Pre-Arrangements
- Talk of a Lifetime
Celebration
Cemetery
Veterans
Obituaries
Testimonials
Resources
Contact Us

Vital Statistics Form

In this section

Social Security Benefits

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)

Informant's Name

Relationship of Informant

Mailing Address of Informant:

Street

City

State/Province

ZIP/Postcode

Phone Number of Informant

Email Address of Informant

Number of Certified Copies of Death Certificates:

Client Testimonials

Proudly Serving the Communities:

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.

Contact Us

Hughes Family Tribute Center

Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law.

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