Home
Cremation Services
Funeral Services
Funeral Homes
- Reading-Laureldale Funeral Home
- Oley Funeral Home
Arrangements
About Us
Obituaries
Resources
Contact Us

Home
Cremation Services
Funeral Services
Funeral Homes
- Reading-Laureldale Funeral Home
- Oley Funeral Home
Arrangements
About Us
Obituaries
Resources
Contact Us

We are very sorry for your loss and stand ready to assist you in your time of need. If you have not already scheduled a meeting with us, please call us.

If you prefer, you are welcome to send us information using the form below. We understand that you may not have access to all of the details below (or would prefer to provide in person). You are welcome to fill out as much or as little as you prefer. We will cover the remainder when we meet with you.

Arrangement Information

Personal Information of Deceased

Last Name

First Name

Middle Name

Maiden Name(if applicable)

Drivers License, ID or PassportNot required but helpful

Sex

Social Security Number

Date of Death

Age

Date of Birth

Place of Brith - City, Township or Borough

State of Birth

County (if USA) or Country of Birth

Upload copy of Birth CertificateNot required but helpful

Deceased most recent street addressIf nursing home, list nursing home name

City (Post Office)

State

Zip Code

City Twp or Boro of Residence

#1 Spouse's Full Name, date of birth and death if applicable

Marital Status Spouse #1

Upload Marriage Certificate

Spouse #1 Veteran? Upload a copy if possible

Upload Discharge DD214If possible

#2 Spouse's Full Name, date of birth and death if applicable

Marital Status Spouse #2

Upload Marriage Certificate

Spouse #2 Veteran?

Upload Discharge DD214

Additional Spousal InformationStep-Parents, Adoptive Parents, etc

Father's Name - First, Middle, Last

Father's Date of Birth

Father's Address if Living

Father's Date of Death and Place of Burial - if applicable

Mother's Name - First, Middle, Last (Maiden Name)

Mother's Date of Birth

Mother's Address if Living

Mother's Date of Death and Place of Burial - if applicable

Additional Parental InformationStep-parents, birth parents, adoptive parents, etc.

Full Street Address of Place of DeathIf a facility, list the facility not the address

City, Twp., or Boro of the place of deathIf unknown, type unknown

County of DeathIf unknown, type unknown

Level of Education

Is the deceased Hispanic?

If other Hispanic Origin

Race (Select only one)

If other race not listed

If more than one race, list here

Type of work done most of their life (for Death Certificate)e.g. Carpenter, Accountant. Do not use retired

Kind/Type of Business of Industry (for Death Certificate)e.g. - Industrial, Automotive, Steel, etc.

Additional work information to be used for an obituaryEnter names, locations and dates of employment

family

Children, their spouses, address, phone number and email addressIf predeceased, list dates of birth and death when known. Separate names by hitting the return key.

Grandchilden, Great and Great Great GrandchildrenIf predeceased, list dates of birth and death when known. Separate names by hitting the return key.

Siblings - List in Birth Order if knownIf predeceased, list dates of birth and death when known. Separate names by hitting the return key.

Other family membersIf predeceased, list dates of birth and death when known. Separate names by hitting the return key.

mILITARY RECORD

Branch of Service

Date Entered Service

Date Discharged from Service

Serial Number and Rank at Discharge

Place Entered Into Service (City, State or Base)

Place of Discharge from Service (City, State or Base)

Wars Fought In

Do you have a copy of the DD214 (Discharge)?

Yes

Upload copy of the Military DD214 (Discharge Papers)

CEMETERY INFORMATION

Cemetery

Cemetery Address

Lot #(If applicable)

Section (If applicable)

Upload Cemetery Deed and/or Contract(s)

Clubs, Orders, Societies or Memberships

Memorial request or donations to charity (In lieu of flowers..)

Family members, living and deceased (List relationship after name)Separate names with a comma

Preparation Information

Has a Doctor / Coroner Been Notified?

YesNoUnknown

If deceased passed at home

Has the Body Been Released for Removal?

YesNoUnknown

Do You Permit Us to Embalm the Body?

YesNoNot sure at this time

If Yes to embalming, Who Has Granted Permission?

Physician Information

Name of Doctor Signing Death Certificate

Street

City

State/Province

ZIP/Postcode

Business Telephone

Email Address

Personal Information of Person Legally Responsible for Disposition

IN ORDER TO QUALIFY AS LEGAL NEXT OF KIN IN THIS SITUATION, A PERSON MUST BE OVER 18-YEARS-OLD. THE ORDER OF NEXT OF KIN IS LISTED BELOW.

1) Spouse

2) Children

3) Parents

4) Siblings

5) Authorized Guardian

6) Grandchildren

7) Great-grandchildren

8) Nieces and nephews

9) Grand-nieces and grand-nephews

10) Grandparents

11) Aunts and uncles

12) First cousins

13) Great-grandchildren of Grandparents

14) Second cousins

15) Fiduciary (a legally appointed trustee)

I AM THE LEGAL NEXT OF KIN AND ABLE TO MAKE ARRANGEMENTS

YesNoNot Sure

Full Name - Last, First and Middle

Relationship to Deceased

Upload Drivers License, ID or Passport

Date of Birth

Social Security Number

Street

City

State/Province

ZIP/Postcode

Primary Phone Number

Email Address

prearranged?

Are there Prearrangement on File with Us?

YesNoUnknown

With Which Location Were They Made?

LaureldaleOleyUnknown

Additional Information or Instructions

Upload any additional forms you find necessary

Anti-Spam Security Question

We are available 24/7, 365 days a year.

If you need our services immediately, please call one of our locations.
We will begin the process of bringing your loved one into our care right away.

Contact Us

Stitzel Family Funeral Homes & Crematory, Inc.

Stitzel Family Funeral Homes & Crematory, Inc.

You are welcome to call us any time of the day, any day of the week, for immediate assistance. Or, visit our funeral home in person at your convenience.

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.

Since 1936, Stitzel Family Funeral Homes & Crematory has been assisting families throughout Berks County, PA.

We provide funeral home, crematorium, burial & cremation services throughout the city of Reading, Laureldale, Temple, Oley, Wyomissing, Muhlenberg Township and all other local Eastern, Pennsylvania communities.

Our Locations

Reading Funeral Home Location
Oley Funeral Home Location

Hours

Sunday - Open 24 hours

Monday - Open 24 hours

Tuesday - Open 24 hours

Wednesday - Open 24 hours

Thursday - Open 24 hours

Friday - Open 24 hours

Saturday - Open 24 hours

Home
Cremation Services
Funeral Services
Funeral Homes
- Reading-Laureldale Funeral Home
- Oley Funeral Home
Arrangements
About Us
Obituaries
Resources
Contact Us