4926 Johnson Dr.,
Shawnee Mission, KS 66205
Office Hours: Monday-Friday 9-5
Available by phone 24/7
913-384-5566

Vital Statistics Form

Please fill this form out as much as possible. It will help us to complete the death certificate and in writing the obituary. All fields with an asterisk are required.

Deceased's Information

 

Informant's Information

 

Verification

 

News & Events

4926 Johnson Dr.,
Shawnee Mission, KS 66205
Office Hours: Monday-Friday 9-5
Available by phone 24/7

913-384-5566
info@cremationcenterkc.com