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Genealogy Request Form

Thanks for taking the time to fill out our Genealogy Request Form. We will attempt to answer all questions, such as birth and death information, location of deceased in cemetery, and any other miscellaneous information you provide in your request.

Due to periods of incomplete data (information not provided to the funeral home or cemetery by family members during previous decades), not all data desired is available. Therefore, results may reveal all of the information sought, some of it, or in some instances, no information at all.

Patron Information and Research Fees:
Lewis Funeral Chapel charges $5.00 per name for information requested. If the person on which you are seeking information is not buried at our location(s), you will not be invoiced.

All searches are made of Lewis Funeral Chapel records only and do not include such sources as obituaries or death certificates. All genealogy requests are answered by mail only. They are completed in the order in which they are received and will be mailed to you within four-to-six weeks (if our search turns up empty-handed, we will notify you of this via email.)

Please complete (as much as possible) the information on the form below and select 'Submit Request' at the end to send the request to us.

If you have any questions whatsoever, please contact Lewis Funeral Chapel at: 360-377-3836

NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

 Deceased Vital Statistics:

* Deceased First Name:
* Deceased Last Name:
Date of Birth:
Place of Birth: City:


Date of Death:
Place of Death - Location:

If other location, please indicate:

Place of Death - Name:
Place of Death - Street:
Place of Death - City:
Place of Death - State
Place of Death - County:

 Veteran Information:

Was Decendent Ever In the US Armed Forces?: Yes No (if no, continue to next section)
Branch of Service:
Date Enlisted:
State Where Enlisted:
Name(s) of War(s)/Conflict(s) Toured:

Date Discharged:

 Informant/Person In Charge Information:

* First Name:
* Last Name:
Relationship To Deceased:
* Email Address:
Telephone Number:

 Other Information & Instructions

Please list any other information or instructions you would like us to have:

 Genealogy Request Costs:

I understand that I will be invoiced $5.00 per name for searching required to produce results:  
No (if you are not willing to receive an invoice and incur the costs for the Genealogy Request, please do not submit this form)


Bremerton, WA: Lewis Funeral Chapel, 360-377-3836 / Forest Lawn Cemetery: 360-373-3132

Poulsbo, WA: The Stone Chapel (Poulsbo Mortuary), 360-779-4474  /  Cherry Grove Memorial Park, 360-779-4474
© Copyright 2008 Lewis Funeral Chapel and FuneralNet®
Lewis Funeral Chapel
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