INFORMATION NEEDED FOR CREMATION PRE-PLANNING

The following information is needed to complete a Pre-Arrangement Contract for planning a cremation ahead of time. This Pre-Planning Form is for making Pre-Arrangements only, i.e. the person these arrangements are for has not passed away. If someone has already passed away and you need to make cremation arrangements now, please use our Death Registration Form, the one with the Blue button.

All fields are required
Legal Name
Address
Care Card #
Sin #
Marital Status
Spouse's Legal Name
(With maiden surname)
Longest Occupation & Industry
Date of Birth
Place of Birth
Father's Legal Name
Father's Place of Birth
Mother's Legal Name
(With applicable maiden surname)
Mother's Place of Birth
Family Doctor
Family Doctor Telephone
Legal Representative (Executor/Next-of-kin)
Legal Representative Telephone
Email Address
Additional Comments:


A Basic Cremation Phone: 604-488-9839
Fax: Please call for number

www.abasiccremation.ca

Address:
592 Clearwater Way
Coquitlam, B.C.
V3C 5W4, Canada.