Name: Payless Cremation
Address: 3500 Clayton Rd Suite 100, Concord, CA, 94519
Telephone: (925) 408-9980

If death has occurred, please accept heartfelt condolences from our family to yours.

Call or text us right away to assist you and to answer your questions at this very difficult time

(925) 408-9980, text us at (510) 333-2482.

Please fill the following form and submit. We will contact you to start the arrangements.

Decedent’s Information:

Name
First Middle Last
Date of Birth
MM
DD
YYYY
Country or State of Birth
Date of Death
MM
DD
YYYY
Ever in the US Armed Forces?
Marital Status
Highest Education Level
Was Decedent Hispanic/Latino/Spanish?
Decedent Race
Usual Occupation (do not use retired)
Kind of Business
Years in Occupation
Decedent's Address
Street Address City State / Province / Region ZIP / Postal Code Country
Surviving Spouse:
First Middle Last
Decedent's Father
First Middle Last
Decedent’s Father Birth Country or State:
Decedent's Mother:
First Middle Last
Decedent’s Mother Birth Country or State:
Medical Information:
Where is your loved one now?*
Facility Name:
City:
Address:
Physician's Name:
Physician's Phone
Informant's Information:
Cremation Package
- Cremation Simple
- Cremation with Private Farewell
- Cremation with Public Farewell
Informant’s Name*
First Last
Informant’s Relation
Informant’s Address
Informant’s Phone*
Informant's Email*
Comments
This field is for validation purposes and should be left unchanged.

Immediate Cremation Funeral Plans

Cremation Process