Direct Cremation – Planning Ahead "*" indicates required fields Contact Person DetailsName* First Last Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Beneficiary of Pre-ArrangementName* First Last Order notes (optional)Preferred Time of Day for Contact Early Morning Mid Morning Late Afternoon Evening All-Inclusive Cremation Price: Our All-Inclusive Cremation Includes: Removal from a hospital & transfer into our care within the 5 boroughs of N.Y.C. (Manhattan, Brooklyn, Queens, Bronx, and Staten Island) Preparing, securing, filing & obtaining necessary documents and N.Y.C. permits Most basic simple cardboard cremation container (weight capacity 250lbs) Plastic temporary cremated remains container supplied by Rosehill crematory Online arrangements, with option of arrangement assistance over the phone Custodial care of deceased in our climate-controlled holding facility (1 day) Decedent’s waterproof enclosure receptacle New York City Dept. of Health cremation permit fee Transporting of deceased, accompanied by our licensed funeral director to the Crematory In Person pick up of Cremated Remains from the crematory to our Midtown Manhattan facility Our exclusive Manhattan Cremation with Confidence Guarantee Reporting the death to the Social Security Administration Online obituary on our website Submitting a death notice to the N.Y. Times Newspaper (Publication costs will be additional) Location of Recipient person Hospital (included) Hospice/Assisted Living/Care Facility Residence, Manhattan, Brooklyn, Queens, Bronx and Staten Island (24-hour availability) Facility Name* Hospital Name* Borough/County of Recipient person*Please selectManhattanBrooklynQueensBronxStaten IslandLong Island CountiesNassau ($250.00)Eastern Suffolk County ($495.00)Western Suffolk County ($395.00)Long Island CountiesWestchester CountyWestchester County ($350.00)Westchester CountyNew Jersey CountiesBergen ($395.00)Essex ($395.00)Hudson ($295.00)Middlesex (495.00)Monmouth ($595.00)Morris ($595.00)Ocean County ($795.00)Passaic ($495.00)Somerset ($595.00)Sussex ($795.00)Union ($495.00)Warren ($895.00)New Jersey CountiesApproximate Weight of Recipient person* Under 250 lb. (included) Over 250 lb. (Single extra size reinforced receptacle) Over 400 lb. (Double extra size reinforced receptacle) Crematory Fee* Rosehill Crematory fee for cremation process, packaging, and labeling of cremated remains New York City funeral homes are not permitted to have a crematory on premises.HiddenPacemaker/Defibrillator Removal No Yes (*removal required by crematory regulation)($250.00) HiddenCremation Options Basic preparation & personal care of deceased for identification Dressing Unembalmed Remains (Clothing not provided, not for autopsied remains) Final Goodbye at our facility (1 Hour) limited 10 persons Witness Cremation at Rosehill Crematory (Includes Licensed Funeral Director in Attendance) Expedited Cremation & Return of Cremated Remains in 48 Hours Use of Chapel at Rosehill Crematory, scheduled cremation. Cremation Options (Prior to Cremation)Cremation Options (Prior to Cremation) Final Goodbye at our facility. (Open casket gathering, with viewing) Gathering up to 2 hours with a maximum of 20 attendees between the hours of 11AM and 5PM. It includes basic preparation, complete personal care of the deceased including washing the body, care of hair and nails, topical disinfection (no embalming), and presenting deceased for viewing. Times to be coordinated. If the deceased has been autopsied, an additional care charge of $250.00 applies. Please, check the Autopsied Remains box below if applicable. Gathering up to 2 hours with a maximum of 20 attendees between the hours of 11AM and 5PM. It includes basic preparation, complete personal care of the deceased including washing the body, care of hair and nails, topical disinfection (no embalming), and presenting deceased for viewing. Times to be coordinated. Autopsied remains – additional care Autopsied remains – additional care $250.00 Cremation Options (Prior to Cremation) Final Goodbye at our facility. (Closed casket gathering) Gathering of up to 1 hour maximum, limited to 10 attendees between the hours of 11AM and 5PM. Times to be coordinated Gathering of up to 1 hour maximum, limited to 10 attendees between the hours of 11AM and 5PM. Times to be coordinatedCremation Options (Prior to Cremation) In-Person Identification Up to 30-minute gathering with up to 5 attendees. Includes presentation of deceased for I.D. (Dressing of the deceased is suggested, but a clean white sheet can be provided to cover the deceased.) If the deceased has been autopsied, an additional care charge of $250.00 applies. Please, check the Autopsied Remains box below if applicable. Up to 30-minute gathering with up to 5 attendees. Includes topical disinfection and presentation of deceased for I.D. (Dressing of the deceased is suggested, but a clean white sheet can be provided to cover the deceased.)Cremation Options (Prior to Cremation) Dressing of deceased Clothing/Shroud are not provided but are available at an addition cost. If the deceased has been autopsied, an additional care charge of $250.00 applies. Please, check the Autopsied Remains box below if applicable. Clothing/Shroud are not provided but are available at an addition cost.Cremation Options (Prior to Cremation) Complete washing and care of the deceased It includes basic preparation, complete personal care of the deceased including washing the body, care of hair and nails, topical disinfection. (No embalming). If the deceased has been autopsied, an additional care charge of $250.00 applies. Please, check the Autopsied Remains box below if applicable. Cremation Options (Prior to Cremation) Autopsied Remains – Additional Care Fee Choosing one or more of the Cremation Options above requires additional care. Please, check the box to apply the $250.00 additional care fee if applicable.It includes basic preparation, complete personal care of the deceased including washing the body, care of hair and nails, topical disinfection. (No embalming).Cremation Options (Prior to Cremation) Refrigerated storage charge, beginning after deceased is in our care for longer than 48 hours. (Extended delays should be discussed with our cremation specialist.)(Extended delays should be discussed with our cremation specialist.)Cremation Options (Prior to Cremation) Gathering at the Rosehill Crematory Chapel It includes the use of crematory chapel for a 20-minute gathering or service, directed by our licensed director by scheduled appointment. (Optional crematories are available depending on your wishes and location, at an additional cost.)It includes the use of crematory chapel for a 20-minute gathering or service, directed by our licensed director by scheduled appointment. (Optional crematories are available depending on your wishes and location, at an additional cost.)Cremation Options (Prior to Cremation) Witness cremation at Rosehill Crematory and Chapel usage By scheduled appointment, which allows one family member to go behind the scenes to witness the deceased placed into the cremation chamber and up to 3 others to view from behind a glass partition. Includes our licensed director in attendance, chapel and crematory fees. (Requires appointment and subject to crematory availability.)By scheduled appointment, which allows one family member to go behind the scenes to witness the deceased placed into the cremation chamber and up to 3 others to view from behind a glass partition. Includes our licensed director in attendance, chapel and crematory fees. (Requires appointment and subject to crematory availability.)Cremation Options (Prior to Cremation) Expedited cremation & return of cremated remains in 48 hours (Holidays and exclusions may apply – please inquire for details)(Holidays and exclusions may apply – please inquire for details)Service Options (After the Cremation) Memorial Service, Celebration of Life ($1,495.00 / $1,695.00) This includes our elegantly appointed event space, supervision by our staff, the use of our music system, lectern with cordless microphone, and a leather-bound register book for guest attendees, choice of chapel, up to 25 or 100 attendees for up to 2 hours, available between 10:30AM and 1PM, times to be coordinated.This includes our elegantly appointed event space, supervision by our staff, the use of our music system, lectern with cordless microphone, and a leather-bound register book for guest attendees, choice of chapel, up to 25 or 100 attendees for up to 2 hours, available between 10:30AM and 1PM, times to be coordinated.Accommodation (select either of the options below) Intimate size accommodation, up to 30 attendees. Spacious size accommodation, up to 100 attendees. Cremation Receptacles (please choose one from the three categories below)* Basic Cardboard Receptacles Vista Driftwood Vista Golden Oak Carrollton Beechwood Simple Bamboo Container Bamboo Coffin Willow Coffin Floral Arrangements Floral Arrangements Add-On (for any of the cremation receptacle options above) Floral bouquet (approx. 22″ long, 14″ wide by 12″ high). Substitutions may occur depending upon the season. Urns* Plastic Temporary Receptacle Gem Urn Simplicity Alumina Ocean Sunset Scattering Tube Rainbow Pond Scattering Tube Ascending Dove Scattering Tube Journey Aqua Spartan Gold Spartan Stainless Steel Classic Gold Classic Pewter Grecian Crimson Ceylon Aviary Prince Blue Montreal Keepsakes Classic Gold Keepsake Classic Pewter Keepsake Mother of Pearl Silver Oak Keepsake Copper Oak Keepsake Going Home Blue Going Home Pink Silver Pearl Rainbow Pond Scattering Tubes Ascending Dove Scattering Tubes Ocean Sunset Scattering Tube Blue Bamboo Keepsake Additional Cremation ServicesCertified Copies of Death Certificates* Order Death Certificates? Certified Copies of Death Certificates Quantity* Price: $15.00 Quantity One Time NYC Processing $0.00 NYC processing fee determined by the number of death certificates ordered. $5.55 for 1 to 10 death certificates. $0.50 processing fee charged for each additional death certificate after 10 copies.Delivery Method of Death Certificates* Pickup Shipping (USPS Priority Mail) Disposition of Ashes (Cremated Remains) / Urn* Pickup Shipping (USPS Priority Mail within Continental United States) Hand Delivery (Manhattan Only) Sea Scattering of Cremated Remains, three nautical miles off the coast of Montauk/Fire Island, Long Island; no family attendance, seasonal scheduling (Family attendance can be arranged at an additional cost). Submitting Death Notice to New York Times Newspaper No Yes Publication fee will vary based on the length of notice. The family will be responsible for publication fees.Total NameThis field is for validation purposes and should be left unchanged. Δ
