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Whether you’re pre-planning for your own arrangements or planning for a loved one’s passing, the details below are used to complete the Florida death certificate and legal forms. Everything here is required by the State of Florida. We’re happy to help with anything you’re unsure of.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Arrangement Preferences

Select type of arrangement needed (Select one)*

Legal Information of Decedent or Person Planning Ahead

Legal Information of Decedent or Person Planning Ahead*
Sex*
Date of Birth (Month, day, year)

Death Details

Leave blank when planning ahead
Date of Death

Legal Address

Inside City Limits?*

Marital Status and Surviving Spouse

Marital status at time of death (Specify)*

Occupation

Indicate type of work done during most of working life. Do not use “Retired.”

Hispanic / Haitian Origin and Race

Decedent of Hispanic or Haitian origin? (Specify if decedent was of Hispanic or Haitian origin.)
Decedent's race (Specify the race/races to indicate what decedent considered himself/herself to be. More than one race may be specified.)

Education

Decedent's education (Specify the decedent's highest degree or level of school completed at time of death.)*

Veteran Information

Was decedent ever in U.S. Armed Forces? (Select one)*
Branch of service (Select all that apply)*
If yes, did a service-related disability contribute to the veteran's death? (Select one, if applicable)

Parents

Father's Name
Mother's Maiden Name

Informant / Next of Kin

Notes

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