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Home
About Us
Obituaries
Services
Merchandise
Plan Ahead
Grief Support
Resources

Immediate Need

If A Death Has Just Occurred

Immediate Need Form

Free Text

PERSONAL INFORMATION OF THE DECEASED

First Name*

Middle Name*

Last Name*

Date of Birth*

Date of Death*

Do You Permit Us to Cremate the Body?

Street Address*

Free Text

PERSONAL INFORMATION OF PERSON LEGALLY RESPONSIBLE FOR DISPOSITION

First Name*

Middle Name*

Last Name*

Relationship to Deceased*

Street Address*

City*

State*

Zip Code*

Primary Phone Number*

Secondary Phone Number

Best Time to Reach Via Phone*

Do you have arrangements on file with us?

If Yes, Under What Name?

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We will get back to you as soon as possible.

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Kendall Funeral Home

605 Snidow St.

PO Box 38

Pembroke, VA 24136

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