First Call Funeral Home Name* Funeral Home Phone #* First Name* Last Name* Address Line 1 Address Line 2 City State/Province Postal/Zip Code Your email* Your Phone #* Fax Information about the deceased or pre-need. Please select all that apply:* Domestic ShippingInternational ShippingCremationRemoval, Embalming w/ Ground TransportFlight ArrangementLiveryInterment w/ Graveside ServicesInterment w/out Graveside ServicesDisinterment Deceased First Name* Deceased Last Name* Location of Deceased - Address Line 1 Location of Deceased - Address Line 2 Location of Deceased - City Location of Deceased - State/Province Location of Deceased - Postal/Zip Code Location Type* —Please choose an option—FacilityResidence Contact First Name* Contact Last Name* Contact email* Contact Phone #* Permission to Embalm* YesNo Embalming Authorized By - First Name Embalming Authorized By - Last Name Date & Time of Death :—Please choose an option—AMPM Doctor's Name Doctor's Phone # Next of Kin - First Name Next of Kin - Last Name Next of Kin - Phone # Relationship to Deceased Next of Kin - Address Line 1 Next of Kin - Address Line 2 Next of Kin - City Next of Kin - State/Province Next of Kin - Postal/Zip Code Any additional notes or comments we may need to know? Terms of Service State to state requirements varies regarding the shipment of human remains. These may even vary county to county. Our experience shipping specialists will work with you to let you know those requirements and the paperwork needed. It is very important that you do not schedule service times with the family until you have received a flight. Some states require that a death certificate is signed and filed before shipping can occur. We recommend you obtain all the statistical information from the family as soon as possible. By clicking below you confirm the information submitted to be true. Your acceptance of the terms of service will also confirm our engagement and your understanding of the above statements regarding service. I accept the Terms of Service* Yes Inman Shipping Worldwide 9077 Stellhorn Crossing ParkwayFort Wayne, IN 46815 (800) 321-0566 info@shipinman.com Our Affiliations We Proudly Support