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About Us
Locations
Contact

Home
Tributes
Send Flowers
Pre-need Form
Direct Cremation
Merchandise
Planning Ahead
Grief & Healing

Planning Ahead

Overview
Why Should I Plan Ahead
Pre-Planning Checklist
Pre-Need Form

Online Pre-Need Form

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Please tell us who these pre-arrangements are for:

Full Name

Address

Apt, Suite, Etc.

City

State

Zip Code

Has someone already passed away?*

Yes

No

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

Full Name

Address

Apt, Suite, Etc.

City

State

Zip Code

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

Full Name

Address

Apt, Suite, Etc.

City

State

Zip Code

Telephone

Telephone

Telephone

Email

Cremation Information:

Did the deceased have or been exposed to COVID 19?*

Yes

No

Does the person for whom these arrangements are for have a will?*

Yes

No

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

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

Is the deceased eligible for coverage by ODSP or Social Services?*

Yes

No

Dec Gov Assistance

Urn (as chosen from our Merchandise page)

Urn engraving¹*

Yes

No

Cremated remains delivery¹*

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

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Our Locations

Aftercare Toronto

1097 O'Connor Drive

Toronto, ON M4B 2T5

Phone: (416) 440-8878

Fax: (416) 440-8964

[email protected]

www.aftercare.org

Aftercare Oshawa / Whitby

901 Simcoe Street North

Oshawa, ON L1G 4W1

Phone: (905) 432-9424

Fax: (905) 432-6982

[email protected]

www.aftercare.org

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