📍 7832 Santa Monica Blvd, West Hollywood, CA 90046  |  Lic. No. FD-1326
In the event of death, please call our 24/7 office line: (323) 654-8415

Forms & Documents

Vital statistics, release forms, and other documents — all in one place

Vital Statistics & Release Forms

When an individual has passed, the next-of-kin must sign a release form to authorize Chevra Kadisha Mortuary to transport the deceased. We must also be provided with the deceased's vital statistics for the death certificate.

All forms can be completed and e-signed online via Adobe Sign, or downloaded as a Word/PDF document.

📋 Required Vital Statistics

Please have the following information ready when contacting us:

Full legal name of deceased
Date of birth
Social Security number
Occupation & home address
Parents' full names
Name & phone of primary physician

Release & Vital Statistics Forms

📝

AT-NEED Release Form

Authorizes release of remains to Chevra Kadisha Mortuary and provides information for the death certificate.

✍ E-Sign Online
📝

PRE-NEED Release Form

For those who have an existing pre-need arrangement with Chevra Kadisha Mortuary.

✍ E-Sign Online

Medical Examiner & Coroner Release Forms

If the deceased is in the custody of a county medical examiner or coroner, please use the appropriate form below.

Los Angeles Medical Examiner
Standard release
✍ E-Sign
Los Angeles Medical Examiner
Sign-out cases
✍ E-Sign
Ventura County Medical Examiner
✍ E-Sign
Orange County Coroner
✍ E-Sign
Riverside County Coroner
✍ E-Sign
San Bernardino County Coroner
✍ E-Sign
San Diego Medical Examiner
✍ E-Sign
San Francisco Medical Examiner
✍ E-Sign

Additional Forms & Documents

Fetal Demise Release Form
✍ E-Sign
Limb or Bone Release Form
✍ E-Sign
Human Organ or Body Part Release Form
✍ E-Sign
Chevra Kadisha Prayer Book with Tehillim
⬇ PDF
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Shabbos & Jewish Holidays:

If a death occurs on Shabbos or a Jewish holiday, our calls are directed to an experienced mortuary answering service. After Shabbos or Yom Tov, our funeral director will call the family directly. Call (323) 654-8415 at any time.

📞 Click to Call