Please fill out this form and contact Fisher Funeral Home directly. Put “Unknown” for any fields you do not know.
Please fill out this section about the deceased.
Please check which one applies*
Pre-Need (Death has not taken place)At Need (Death has taken place)
Date of Birth
Date of Death
Name at birth or other name used for personal business (include AKA's if any)
Address of Location
Method of Disposition
Deceased's Street Address*
Social Security Number
U.S Military Veteran:
Do You Have a Copy of the Discharge Papers?
Please indicate job title(s)
Please indicate what industry they worked in
—Please choose an option—Never MarriedMarriedWidowedDivorced
Name of Surviving Spouse
Name of the Decedent's Father
Name of the Decedent's Mother
Mother's Name AT Birth
Please fill out this section about the person signing the form.
Your First Name*
Your Last Name*
Your Phone Number*
Your Relationship to the Deceased*
Your Home Address
Please select an option
I have downloaded the General Release and Authorization Forms.I have not downloaded the General Release and Authorization Forms.