Vital Information

Full Name

Address

Date/Place of Birth

Social Security Number

Gender

Ancestry (Germany, French, Etc.)

Marital Status

Date/Place of Marriage (if applicable)

Spouse (Include Maiden Name)

Highest Level of Education

Veteran

Branch

Wartime

Occupation

Employer

Mother's Full Name (Maiden Name)

Next of Kin Full Name

Next of Kin Address

Next of Kin Phone Number

Next of Kin Email

Burial/Cremation

Cemetery

Church Affiliation

Services

Products

Notes

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