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Call: 913-815-8001
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Necessary Forms
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FAQs
Contact Us
Kansas
Name of Deceased (First Name, Middle Name, Last Name):
*
*
Social Security Number of Deceased:
*
Date of Death:
*
Name of Purchaser:
*
Drivers License Number of Purchaser:
*
Direct Cremation $1095.00:
* if deceased weighs more than 300lbs additional cremation charges apply (select below under additional options) final total determined upon confirmed weight of deceased by crematory.
In Person Arrangement $400.00: By Appointment Only - Includes administration fee and meeting at facility with our director to complete the required paperwork.
Additional Mileage (County where death occurred): *
Wyandotte County - $0.00
Johnson County - $0.00 - County Cremation Permit - $50.00
Leavenworth County - $200.00
Miami County - $200.00
Douglas County - $300.00
Franklin County - $300.00
Jefferson County - $400.00
Shawnee County - $400.00 - County Cremation Permit - $50.00
Atchison County - $500.00
Coffey County - $700.00
Jackson County - $700.00
Osage County - $700.00
Chase County - $800.00
Dickinson County - $800.00
Geary County - $800.00
Lyon County - $800.00
Morris County - $800.00
Pottawatomie County - $800.00
Riley County - $800.00
Wabunsee County - $800.00
Butler County - $900.00
Marion County - $900.00
Saline County - $900.00
McPherson County - $1,000.00
Ottawa County - $1,000.00
Custom Option:
Amount: $
Additional Options:
Priority Cremation (within two days of receiving the cremation permit) - $295.00
Additional removal/transfer (ie organ donation, autopsy) - $195.00
Cremation container if over 300lbs - $495.00
Cremation container if over 500lbs - $695.00
Urn Filling (for transferring cremated remains into urn or keepsake not purchased from Mid States Cremation) $35.00
Custom Option:
Amount: $
Merchandise
Urns:
Basic Urn - $0.00
Walnut Scattering - $109.00
Purity Urn - $438.00
Blue Roman - $252.00
Custom Option:
Amount: $
Sales Tax 9.35% :
Death Certificates
:
0 - $0
1 - $22
2 - $37
3 - $52
4 - $67
5 - $82
6 - $97
7 - $112
8 - $127
9 - $142
10 - $157
11 - $172
12 - $187
13 - $202
14 - $217
15 - $232
16 - $247
17 - $262
18 - $277
19 - $292
20 - $307
Final Disposition
Pick up at our facility (By appointment only)
Delivery Charge for Cremated Remains - $
125.00
*For cremated remains, person arranging the cremation must be present when cremated remains are delivered and show a valid ID.
Shipping Cremated Remains by USPS Priority Mail Express - $105.00 (within U.S. only)
Name:
Shipping Address 1:
Shipping Address 2:
Shipping City:
State:
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Shipping Zip Code:
Shipping Phone Number:
Total:
$0.00
Your Contact Information:
First Name:
*
Last Name:
*
Billing Address 1:
*
Billing Address 2:
Billing Address 3:
City:
*
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Quebec
Nova Scotia
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Manitoba
British Columbia
Prince Edward Island
Saskatchewan
Alberta
Newfoundland And Labrador
Northwest Territories
Yukon
Nunavut
*
5-Digit Zip:
*
Your Email:
*
Confirm Email:
*
Phone Number:
*
Terms of Service : Accept
Do not Accept
Acknowledge receipt and review of General Price List : Yes
No
I understand that to complete the cremation process
ALL LEGAL NEXT OF KIN must sign the Authorization Form in front of a Notary Public
(Step 3) : Yes
No
I understand that all
Necessary Forms
must be submitted within 5 days of completed payment, and that after 5 days
Refrigeration Fees
of $250 per day will apply. : Yes
No
Warning - Exiting Site
X
* All death certificates ordered will have the cause of death listed
* We are unable to order
pending
death certificates
* Death Certificates being completed by the Medical Examiner/Coroner's Office may take up to 6-8 weeks to complete
YES
No