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Please tell us who these pre-arrangements are for:
Title Of Deceased
Full Name
Address
If death is imminent, where is the death expected to occur:
Place of Death
City
Person making pre-arrangements:
Relationship to the person for whom these arrangements are for
Title Of Arranger
Full Name
Address
Telephone
Telephone
Telephone
Email
Person who will be signing the paperwork at the time of death: (Must Be Executor, If No Executor Legal Next-Of-Kin)
Relationship to the person for whom these arrangements are for
Title Of Arranger - Signing
Full Name
Address
Telephone
Telephone
Telephone
Email
Cremation Information:
Does the person for whom these arrangements are for have a will?
Yes
No
*If 'yes,' please forward a copy of first & last page
Full Legal Name of Executor
Approximate Height and Weight of person for whom these arrangements are for
Information about the person for whom pre-arrangements are for:
Gender
Female
Male
Date of Birth
City of birth
Province of birth of Deceased
Country of birth of Deceased
Last spouse/partner of Deceased full legal name including maiden name
Relationship Status of Deceased
Single
Married
Widowed
Divorced
Common-Law
Same-Sex Partner
Dec - Type of work done during most of working life
Dec - Type of business or industry
Dec - Father's full legal name
Dec - Mother's full legal name including maiden name
Father's City of birth
Father's Province of birth
Father's Country of birth
Mother's City of birth
Mother's Province of birth
Mother's Country of birth
At the time of death, would the deceased be eligible for government assistance? Example: ODSP or Social Service
Yes
No
Dec Gov Assistance
Urn (as chosen from our Merchandise page)
Urn engraving¹
Yes
No
Cremated remains delivery¹
Yes
No
Identification of Deceased¹
Yes
No
Witnessing cremation¹
Yes
No
¹Additional fees apply
We provide 10 proof of death certificates (Require more? Additional fees apply)
Yes
No
How many additional death certificates?
How did you hear about Aftercare?
Location Information
Location
Aftercare Toronto
Aftercare Oshawa / Whitby
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