Funeral Home Class Action Lawsuit

Do you suspect that the funeral home did not properly care for the body of your loved one?

PERSONAL INFORMATION

First Name:

Last Name:

Phone: () - ext.

E-mail Address:

Address:

City:

State:

Zipcode:

Date of birth of injured person:

FUNERAL HOME LAWSUIT INFORMATION

Have you been notified about a problem with a funeral home?

Yes
No

Date of Funeral:

*What was implanted?

*Was the funeral conducted properly?

Yes
No

*Describe the damage suffered:

Please describe the problems you experienced:

What problems were you notified of in regards to the funeral home?

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