Grissom's Chapel & Mortuary Inc.

Online Arrangements

Your Information

First Name*

Last Name*

Relationship to the Deceased*

Email*

Phone*

Decedent's Information

First Name (Legal Name)*

Middle Name (Legal Name)

Last Name (Legal Name)*

Other name they went by (on official paperwork)

Date of Birth*

Date of Death

Age

Sex

Birth State

Birth Country

Ever in the Armed Forces?

Marital Status (at time of death)

Education (highest level)

Hispanic, Latino(a), Spanish?

Decedent's Race 1

Decedent's Race 2

Decedent's Race 3

Usual Occupation (do not use retired)

Kind of business of industry

Years in occupation

Residence Address*

City*

County*

Zip code*

Years in county

State*

Country*

Informant Information

Informant's Full Name

Informant's Relationship

Informant's mailing address

Spouse & Family Information

First Name of Surviving Spouse

Middle Name of Surviving Spouse

Last Name of Surviving Spouse (Birth Name)

Father's First name

Father's Middle name

Father's Last name

Father's Birth State

Father's Birth Country

Mother's First name

Mother's Middle name

Mother's Maiden name

Mother's Birth State

Mother's Birth Country

Contact Us

Grissom's Chapel & Mortuary Inc.

267 E. Lewelling Blvd.
San Lorenzo, CA 94580
Directions
(510) 278-2800

Grissom's Cremation & Burial Centers

9130-B Alcosta Blvd.
San Ramon, CA 94583
Directions
(925) 560-0800

Grissom's Crematory, Inc.

267 E. Lewelling Blvd.
San Lorenzo, CA 94580