Immediate Need

If a Death Has Just Occurred

First, let us express our deepest sympathy for your loss and know that we are here for you and your family during this difficult time.

If you've not done so, please call us at 484-734-8100 day or night. We will make arrangements to bring your loved one into our care and will set a time for you and your family to come to the funeral home to begin the funeral arrangements.

If you would like, filling out the form below will help us gather the information we need to begin more quickly.

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name*

First Name*

Date of Birth*

Date of Death*

Time of Death*

Social Security Number*

Free Text

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

Free Text

Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name*

Middle Name*

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/Postcode*

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

Get In Touch

We're available 24 hours a day, 7 days a week. Call Us at 1-484-734-8100 or use the form below.

Get In Touch

Grieco Funeral Home & Crematory, Inc. | 405 W State St Kennett Square, PA 19348

Tel: 484-734-8100 | Fax: 215-536-2250 | info@griecofunerals.com

405 W. State Street is an office only. Sheltering, embalming, and cremation occur at our affiliated funeral home in Quakertown, PA also owned by Matthew Grieco. Services can be held at our affiliated funeral home or the location of your choice.

365 Days of Grief Support

Our support in your time of need does not end after the funeral services. Enter your email below to receive a grief support message from us each day for a year. You can unsubscribe at any time.

Immediate Need

If a Death Has Just Occurred

Immediate Need Form

Get In Touch

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