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Death Certificate Information

Name:

Name at Birth:

Gender:

Date of Birth:

Social Security Number:

Occupation:

Type of Business/Industry:

Residence Address:

City:

State:

ZipCode:

Birthplace:

Marital Status:

Surviving Spouse (Maiden Name):

Ancestry:

Race:

Hispanic Origin:

U.S. Armed Forces Member:

Highest Education:

Father's Name:

Mother's Name

Informant's Name:

Relationship:

Informant Address:

City:

State:

ZipCode:

Home Phone:

Cell Phone:

Email

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Higgins Funeral Home

at Hunter-Allen-Myhand

506 Hill Street, LaGrange, GA 30241

Death Certificate Information