Basic Information Form


This form consists of 4 parts. It includes most of the information needed to make funeral arrangements for yourself or another. Much of the information is required for legal documents, such as the death certificate.  Other information helps you decide what type of funeral you would like.

You may print this form blank, or after you have filled all or part of it in, you may also submit the form online.

By law, cremation requires the signatures of all closest next of kin. The Cremation Authorization Form is available here.

Note: Memorial Alternatives will place an obituary in the Grand Rapids Press. All other newspaper obituaries should be handled directly by the family.

Basic Information Form

Residence Address

Mailing Address (if different from above)


(Kent County charges $10 for the first and $3 for each additional


If cremation is selected, all of the closest next of kin need to fill out the Cremation Authorization Form. This form can be viewed and/or downloaded here.

For information on prepaying for your funeral services, see our Pre-arrangement page.

If you prefer to sit down and talk with a counselor, please email or call for an appointment. Our phone number is (616) 363-3700. We are in the office Mondays through Fridays, 9am  to 4:30pm.

Click “Submit” below to send this form to us. You may care to scroll up and review your input at this time. You can edit any entry individually. To print the form with your entries, click your browser's print button.

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