logo

Low Cost Cremation for Staten Island & New York

HAVE QUESTIONS?
CALL US: (718) 887-8168 & (888) 249-8160
  • Home
  • Contact Us
  • Q & A
  • Our Services
    • Merchandise
    • Resource Kit
  • Downloadable Forms
    • Overview
    • Immediate Need Arrangement Form
    • Pre-Planning Arrangement Form
    • Application for Cremation Permit
    • Cremation Authorization
    • At-need Written Statement of Person Having the Right to Control Disposition
    • Confirmation of Identification without Viewing
    • Customer’s Designation of Intentions
  • Helpful links
    • Online Arrangement Process Guide
  • About Us
    • Overview
    • Staff
    • Mission Statement
  • Online Planning
    • Immediate Need
    • Planning Ahead

Vital Information Form

The following information will be used for completion of all legal documents. Including, but not limited to, certified death certificates, cremation permits, social security notification and veteran claim forms. Required fields are marked with an "*".

Step 1 of 5

20%
  • Vital Information Form 1 of 5

  • Under 1 Year

  • Under 1 Day

  • (City and State or Foreign Country)
  • Place of Death

    (Check only one)
  • (If not institution give street address)
  • (If wife, give maiden name)
  • (Indicate type of work done during most of work life)
  • (Specify the race/races to indicate what decedent considered himself/herself to be. More than one race may be specified)
    (Specify if decedent was of hispanic or haitian origin)
  • (Specify the decedent's highest degree or level of school completed at time of death)
  • (Specify the decedent's highest degree or level of school completed at time of death)
  • (First, Middle, Last, Suffix)
  • (First, Middle, Middle Surname)
  • (First, Middle, Last, Suffix)
  • (Name of cemetery, crematory, or other place)
  • is correct.
  • MM slash DD slash YYYY
  • If the Death Certificate must be amended, there will be an 8 week waiting period and a $250.00 processing fee.
  • Designation of Intentions Form 2 of 5

    Required fields are marked with an *
  • Customer's Designation of Intentions
  • MM slash DD slash YYYY
  • Direction for Disposition of Cremains:
  • Cemetery
  • Cemetery
  • Cremains which shall not have been claimed within 120 days from the date of cremation may be disposed of by this firm, in the following manner of disposition: Scatter at sea.
  • MM slash DD slash YYYY
  • Application for Cremation Permit Form 3 of 5

  • To the Office of Vital Records, Department of Health, The City of New York, State of New York
  • } SS. (namely or particularly)
  • being duly sworn deposes and says that
  • and desires that a permit be issued by the Department of Health of the City of New York for the cremation of the body of
  • MM slash DD slash YYYY
  • Deponent's assumption of authority to act is based upon the following:
  • a licensed funeral director, to make arrangements for said disposal.
  • MM slash DD slash YYYY
  • Confirmation of Identification Without Viewing Form 4 of 5

  • Part I. To be completed by Funeral Home representative whenever there is no visual identification

  • Part II. To be completed by next of kin or other legally authorized persons making arrangements

  • Hereby agree to indemnify and hold the All Boro Cremation Services, LLC. and its officers, directors, shareholders, affiliates, agents, employees, successors, and assigns harmless from any and all claims, liabilities, damages, losses, suits or causes of action (including attorney's fees and expense of litigation) brought by any person, firm or corporation or the personal representative thereof, relating to or arising out of such failure to identify.
  • MM slash DD slash YYYY
  • At-Need Written Statement of Agent Claiming Legal Control of Disposition Form 5 of 5

  • ,who named me as his/her designated agent in a will or written instrument executed pursuant to Section 4201 of the NYS Public Health Law.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

Buy now pay later with Affirm
100-service-satisfaction-guarantee-150x150

Satisfaction Guarantee

Funeral and Cremation costs can at times be confusing. Often other funeral or cremation providers quote a low price, but not include your complete costs… Read More

Copyright © 2025 All Boro Cremation Services. All rights reserved.
All Boro Cremation Services, 1289 Forest Avenue, Suite A, Staten Island, NY NY 10302, United States - Phone: (718) 887-8168 allborocremation@gmail.com Price range: $495


Contact | Directions | Pre-planning | Q&A | Staten Island Funeral & Cremation Services

Site Map | Terms of Use | Privacy Policy | Website by FF Websites