Immediate Need

Contact the Authorities

Nurses or hospice will assist you. If your loved passes at home, you need to immediately contact the local emergency officials.

Reach out to us by phone

Our experienced staff will assist you and the family in making the best arrangements possible.

Take Care of Yourself

We understand that this time is the most difficult in anyone's life. Make sure you have the support you need.

Meet with Us

There are many papers and documents we may need for our arrangement meeting.

First, let us express our deepest sympathy for your loss and know that we are here for you and your family during this difficult time.

If you've not done so, please call us at (920) 432-5579 day or night. We will make arrangements to bring your loved one into our care and will set a time for you and your family to come to the funeral home to begin the funeral arrangements.

If you would like, filling out the form below will help us gather the information we need to begin more quickly.

Immediate Need Form

Free Text

Personal Information of Deceased

Last Name*

Middle Name

First Name*

Date of Birth*

Date of Death*

Time of Death

Social Security Number

Free Text

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes

If Deceased Passed at Home, Do You Permit Us to Embalm the Body?

Yes

Has the Body Been Released for Removal?

Yes

Do You Permit Us to Cremate the Body?

Yes

If Yes, Who Has Granted Permission?

Free Text

Physician Information

Name of Doctor Signing Death Certificate*

Email Address*

Business Telephone*

Street*

City*

State/Province*

Zip/Postcode*

Free Text

Personal Information of Person Legally Responsible for Disposition

Last Name*

Middle Name*

First Name*

Relationship to Deceased*

Street*

City*

State/Province*

Zip/Postcode*

Primary Phone Number*

Secondary Phone Number*

Best Time to Reach Via Phone*

Do You Have a Prearrangement on File with Us?

If Yes, Under What Name?

We’re here

Immediate Need Form

Malcore Funeral Home-East

Malcore Funeral Home-West