Online Arrangement Form

Address: 63 Chestnut Hill Avenue, Brighton, MA, 02135, US
Telephone: (617) 782-9636

Deceased Information
Full Name*
First Middle Last
Address*
Street City State Zip Code

Do not use P.O. box.
Place of Death*
Marital Status*
Date of Birth*
MM slash DD slash YYYY
City of Birth*
State/Country of Birth*
Race*
Social Security Number*

The SSN is required to complete arrangements. This site is secured to protect your personal information.
Work/Education History
Education Level*
- Unknown
- Grade School
- High School
- Associate's Degree
- Bachelor's Degree
- Masters Degree
- Doctorate
Occupation (Before Retirement or Unemployment)*
Company Name*
Are you a veteran?
- Yes
- No
Veterans Personal Information
If any information is not known, please list as UNKNOWN
Branch of service
Entrance date into service
Discharge date of service
Military number
Which war did the deceased service in
Spouse/Parental Information
Spouse's Name*
First Last Maiden
Spouse Deceased?*
- Yes
- No
Father's First Name*
Father's Last Name*
Father's Place of Birth(state only)*

If out of US need country only unless it’s Canada. If Canada need providence in Canada.
Father Deceased?*
- Yes
- No
Mother's First Name*
Mother's Last Name*
Mother's Place of Birth(state only)*

If out of US need country only unless it’s Canada. If Canada need providence in Canada.
Mother's Maiden Name*
Mother Deceased?*
- Yes
- No
Next of Kin Information
Name*
Relationship to Deceased*
Telephone*
Email Address*
Address*
Street City State ZIP/Postcode

Do not use P.O. box.
Additional Information
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Contact Us

Lehman, Reen, McNamara Funeral Home
63 Chestnut Hill Ave, Brighton, MA 02135
(617) 782-9636
lrmfuneralhome@gmail.com

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Deceased Information

Work/Education History

Veterans Personal Information

Spouse/Parental Information

Next of Kin Information

Contact Us

Local Area Weather

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No Hidden Fees