Pregnancy and Infant Loss Support, Education & Remembrance

Cremation Assistance Application

Cremation Assistance Program funded in part by the Eleanor Hutchinson Parker Foundation

Cremation Assistance Application Guidelines

Empty Cradle pays the funeral home and/or cemetery directly and we ask that funds are not passed through to the family; there must be an outstanding balance in order to receive assistance.
  • Baby must be one (1) year old or younger
  • $200 towards cremation costs only
  • Assistance limited to San Diego County and Riverside County area parents. Families in surrounding areas maybe considered with board approval
  • Completely fill out Application for Assistance below
  • Email or upload an itemized statement of services rendered from the funeral home
  • Empty Cradle does not pay for funeral expenses, airfare, obituary postings, containers, or other extraordinary items. Assistance is for cremation services ONLY.
  • Requests can also be made via mail or email.  Please read the Cremation Guidelines and Instructions and print and submit the Cremation Assistance Application


Request for Financial Assistance for Cremation Services

Please Choose the Date of Services
Please Enter Your Baby's Full Name
Please add your City & State of Residence
Please Choose The Sex of Your Baby
Please Enter Your Baby's Birth Date
Please Enter Your Baby's Birth Time
Please Enter Your Baby's Death Date
Please Enter Your Baby's Death Time
Was Your Baby Full Term?
Please Choose The Weeks of Gestation
Please Choose The Age of Your Baby at Time of Death
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Please Choose at least One Option
PLease Let Us Know Specifics if Known
Please Let Us Know the Servicing Hospital & Medical Examiner
Please Let Us Know The Current Amount Raised From All Fundraisers
Please Let Us Know How The Funds Raised Be Spent?

Please Choose Your Baby’s Ethnicity for Statistical Purposes
Please Let Us Know Your Baby’s Ethnicity
Please Enter The Mother’s Full Name
/ / Please Let Us Know The Mother's Birthday
Please Enter The Mother's Email Address
Please Enter Your Address
Please Enter Your City
Please Enter Your State or Province
Please Enter your US Zip Code (If Outside The US, Put 12345)
Please Enter Your Country
Enter The Mother's Home Phone Number
Enter The Mother's Cell Phone Number
Enter The Mother's Income
Enter The Mother's Income Type
Enter The Mother's Employer
Please Enter The Mother's Employer Phone Number

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Please Enter a Valid Email Address
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/ / Please Let Us Know The Father's Birthday
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Please Enter a Valid Phone Number
Please Choose
Please Give an Answer or Says "None"
Please Let Us Know Your Preferred Spoken & Written Language




Please Choose Your Marital Status




Please Choose One Option

Please Let Us Know The Names & Ages of Children in Home. If None Put "None"
Please Let Us Know How You Heard About Empty Cradle
Please Verify If You Are A Human

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