Obituaries

Carol Klobukowski
B: 1942-06-16
D: 2017-11-22
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Klobukowski, Carol
Ronald Lemon
B: 1934-07-01
D: 2017-11-16
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Lemon, Ronald
Richard Trosien
B: 1932-12-21
D: 2017-11-15
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Trosien, Richard
Frances Gibson
B: 1946-04-16
D: 2017-11-14
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Gibson, Frances
Mario Esquivel
B: 1991-04-13
D: 2017-11-14
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Esquivel, Mario
Bruce Barnes
B: 1931-12-09
D: 2017-11-13
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Barnes, Bruce
Renee Janish
B: 1948-07-02
D: 2017-11-03
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Janish, Renee
John Graves
B: 1933-11-13
D: 2017-11-03
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Graves, John
Patricia Pearsall
B: 1945-10-17
D: 2017-10-28
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Pearsall, Patricia
Dorothy Thaler
B: 1923-06-19
D: 2017-10-28
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Thaler, Dorothy
Joseph Galas
B: 1939-02-22
D: 2017-10-20
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Galas, Joseph
Mary Large
B: 1942-02-21
D: 2017-10-18
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Large, Mary
Wallace Hoop
B: 1925-01-27
D: 2017-10-16
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Hoop, Wallace
Darthula Williams
B: 1943-09-16
D: 2017-10-15
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Williams, Darthula
Joe East
B: 1932-03-20
D: 2017-10-15
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East, Joe
Barbara Piechowicz
B: 1952-12-25
D: 2017-10-12
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Piechowicz, Barbara
Ralph Barr
B: 1933-11-04
D: 2017-10-06
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Barr, Ralph
Muriel Loop
B: 1928-03-01
D: 2017-10-04
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Loop, Muriel
Jay Ansell
B: 1938-10-16
D: 2017-10-03
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Ansell, Jay
Timothy Isely
B: 1955-04-07
D: 2017-10-01
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Isely, Timothy
John Davis
B: 1927-01-10
D: 2017-09-29
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Davis, John

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9850 West Thunderbird Road
SUN CITY, AZ 85351
Phone: (623) 875-7500
Fax: (623) 875-7501

Forms

Welcome to our forms library. On this page you will find many of the more common forms needed in making cremation or burial arrangements. Keep in mind, not all of these forms will apply to your situation. Consult with a funeral director when determining which forms you will need. 

The forms are all in a PDF format. If you are unable to open the forms please contact us to arrange for alternate file formats. Click on the name of the form to open the file.

 

GENERAL PRICE LIST - This is the General Price List of Regency Mortuary. This publication is for information only for making informed decisions on arrangements.

VITAL STATISTIC WORKSHEET - This form gathers all of the necessary information for the death certificate and disposition/transit permit and is produced by the Arizona Department of Health Services. The vital statistic worksheet must be signed by the informant before a death certificate can be completed and certified copies ordered.

CREMATION AUTHORIZATION - The Cremation Authorization is used to authorize the cremation. Cremation may only be done with written authorization. This form must be completed by the authorizing agent as described in Arizona Statute 36-831

EMBALMING AUTHORIZATION - The Embalming Authorization is to be completed to authorize embalming. Although verbal permission can be used, we do request written permission to be completed also.

DISCLAIMER/DISCLOSURE - This form is used to acknowledge any disclaimers or disclosures that must be given to a client family as required by the FTC, State of Arizona, or any other governing body.