At Need Online Form

Vital Information

The information below is for the purpose of communication prior to funeral arrangements. If someone has passed away, please call to speak with a funeral director at 636-940-1000.

While completing this information is not required before making funeral arrangements, it can serve as a helpful guide to the details Missouri requires for a death certificate. All information will be emailed directly to a funeral director.

If you have any questions, or would like assistance with this form, please call (636) 940-1000

Online At-Need Form

Deceased Information

First Name*

Middle Name

Last Name*

Sex

If Female, Last Name Prior To First Marriage

Place of Birth (City/State)

Date of Birth

Date of Death

Social Security Number

Residence - Street and Number

City

State

Zip Code

Marital Status at Time of Death

Surviving Spouses name (If wife, give name prior to first marriage.)

Father's Name

Mother's Name Prior to First Marriage

Was Decedent Ever In the U.S. Armed Forces?

Informant's Name

Mailing Address

Relationship to Decedent

Informant's email address

Informant's Phone Number

Place of Death

Facility Name (If not institution, give street and number)

City, State and Zip

Decedent's Education

Decedent's Hispanic Orign?

Decedent's Race

Decedent's Usual Occupation

Kind of Business/Industry

Funeral Home

Method of Disposition

Place of Disposition (Name of Cemetery, Crematory, or Other Place)

If there is any other information that may be helpful for the funeral director or needed for records, please add it here:

At Need Online Form

Vital Information

Online At-Need Form

Baue Funeral Home St. Charles

Baue Funeral Home Cave Springs

Baue Funeral Home O'Fallon

Care and Cremation Center at St. Peters