INFORMATION NEEDED FOR A REGISTRATION OF DEATH

The following information is required to complete a Registration of Death when someone has already passed away. This Death Registration Form is for making final cremation arrangements only, i.e. the person these arrangements are for has already died. If you wish to make Pre-Arrangements for the future instead, please use our Ple-Planning Form, the one with the Red button.
All fields are required
Legal Name
Sex
Male or Female
Place of Death
Remains Now At
Care Card #
Sin #
Last Address
Marital Status
Spouse's Legal Name
(With applicable maiden surname)
Deceased's 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
Attending Doctor/Coroner
Attending Doctor/Coroner Telephone
Legal Representative (Executor/Next-of-kin)
Legal Representative Address
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.