image
image
image


Vital Statistics Worksheet Form:

The forms we utilize on this page are in the PDF format. We know there are many different types of computers, operating systems, and web browsers. Some folks have older computers with outdated software which may not be able to open and view the forms. Others have newer ones with all the bells and whistles. With this in mind, we have decided to offer two methods with which you can open these forms.

    Method #1
*PDFescape: This is a great choice for all computer users. but is specially suited for older computers. PDFescape frees users from the typical software requirements from having to download and use Adobe Reader. Completely online, PDFescape  is 100% safe and requires no more than a modern internet browser and an active internet connection. After clicking the appropriate form button below (the ones with the PDFescape logo one them), users can fill out the form, print it, save it to their computer, or send it to Cook Family Funeral Home electronically.
   
  Method #2
*Adobe Reader: Adobe Reader is a free, universal publishing tool that works across many different computer platforms. To open a form using this method, click the appropriate form button below (the ones with the Adobe Reader logo one them) if you do not have Adobe Reader installed on your computer, you may download the latest version for free from Adobe by clicking here.
   

The Vital Statistics Worksheet is used to gather the information needed to complete the death certificate which is filed with the county health department. It is advisable to gather this information well in advance of an impending death. Often surviving adult children cannot immediately or easily find important information such as a social security number, the maiden name of a grandparent, or where the decedent’s military papers are located.

After downloading this form, information can be entered by computer using Adobe Reader and printed, or a blank sheet can be printed and filled out by hand.

Click to open using PDFescape   Click to open using Adobe Reader
OR--->
 

Mail completed forms to the following address,
or fax them to the number below:


Cook Family Funeral Home
163 Wyatt Way N.E.
Bainbridge Island, WA. 98110
PHONE: (206) 842-2642 or (360) 779-7872
FAX: (206) 842-9040

 


image


image
image