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County Assistance

We offer assistance for those who qualify for county vouchers.

Cremation planning while grieving is already stressful, and financial hardships can make the process even more overwhelming. If you are worried about how to pay for your loved one’s cremation, you are not alone – many people need some extra help. If you qualify for financial assistance through your county, you may not have to pay a single dollar toward your loved one’s cremation. We’ll work with your county to make sure the bill doesn’t fall on you. The county may pay up to 100% of your loved one’s cremation.

Call to learn more

We are here for you day and night. To learn more, call us at (303) 578-4111. Our caring team is ready to walk you through the process to see if you qualify and guide you every step of the way. We’re here to help, so you can focus on remembering your loved one.

Begin planning now

If you prefer to plan online, fill out the form below. We will receive the information you submit during normal business hours. If you need urgent assistance, please call (303) 578-4111.

If you live in any of the following counties, we can help:

Adams

Alamosa

Arapahoe

Boulder

Broomfield

Chaffee

Clear Creek

Denver

Douglas

Eagle

El Paso

Elbert

Fremont

Garfield

Gilpin

Grand

Jefferson

Kiowa

Kit Carson

Larimer

Lincoln

Logan

Park

Pueblo

Summit

Teller

Weld

Yuma

To be used for Death Certificate

Decedent's Information

First Name*:

(if none, leave blank)

Middle Name:

Last Name*:

Location of Deceased

(if at our facility, leave blank)

Address:

City:

Country:

State/Province:

Zip/Postal code:

Date of Death*:

Sex*:

Social Security Number:

Place of Birth*:

Date of Birth*:

Place of Death

(Include name of Facility or Address)

Address*:

City*:

Country*:

State/Province*:

Zip/Postal code*:

Total Years of Education*:

County will not accept "retired" or "disabled".

Occupation*:

Kind of Business or Industry:

Was decedent in U.S. Armed Forces?*:

Yes

Marital Status*:

If married or widowed, please include spouse's full maiden name:

Decedent's Address

Address*:

City*:

Country*:

State/Province*:

Zip/Postal code*:

Race*:

Hispanic Origin*:

If Yes to Hispanic Origin, please specify (Cuban, Spanish, etc.):

Father's First Name*:

Father's Middle Name:

Father's Last Name*:

Mother's First Name*:

Mother's Middle Name:

Mother's Last Name:

Mother's Maiden Name:

Name of person providing this information*:

Relationship to Deceased*:

Informant's Address

Address*:

City*:

Country*:

State/Province*:

Zip/Postal code*:

Number of death certificates (county charges $20 for first certificate, $13 ea. additional)*:

Telephone Number*:

Email Address*:

Unless cremation was previously authorized by deceased, no cremation may take place without written authorization from the Deceased’s next of kin or legal representative*.

*If deceased pre-authorized, certain criteria must be met.

Authorizing the Cremation

Name of next of kin or legal representative*:

Relationship to deceased*:

Is decedent currently married?*:

Does the decedent have any children?

First and Last Name of Child 1:

First and Last Name of Child 2:

First and Last Name of Child 3:

First and Last Name of Child 4:

First and Last Name of Child 5:

Disposition of Ashes

Disposition of Ashes*:

Closing Questions*:

What happens next? A representative from A Basic Cremation will contact you during regular business hours. If you need urgent after-hours assistance, please contact us.

Please wait

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County Assistance