A Death Has Occurred Or Is Near | Waterbury & Kelly Funeral Home

When A Death Has Occurred

We understand how overwhelming it can be after losing a loved one. Our simple online form helps you notify us when a death occurs, so we can assist you and ensure your loved one is cared for with dignity. If you have questions, we’re here to help.

About the deceased

First Name

Middle Name

Last Name

Address

City

State

Zip Code

Phone Number

Email Address

Free Text

Five Questions

Who is this plan for?

What would you like to discuss?

Do you have cemetery property?

Is the preplan for someone who served in the military?

Is this preplan for Medicaid purposes?

Free Text

Additional Information We Should Know:

Please use this space to add any other information:

I would prefer to be contacted by:

Which Funeral Home Location?

When A Death Has Occurred

a death has occurred or is near form

About the deceased

A Year of Grief Support