There are several sections to cover in the application. Please click on 'Show more' to expand the form.

Primary email address to reach you

Vital Information [Show more]

Deceased Last Name *

Deceased First Name *

Deceased Middle Name(s)

Name at Birth (if different)

Gender *

Male
Female
Other

Weight

Weight Unit of Measurement

lbs
kgs

Date of Death *

Place of Death (e.g. Hospital, institution, private residence) *

Enter the name of Hospital, institution or enter "Private Residence" if applicable

Street Address *

City *

Province *

Postal Code

Current Location Of Deceased *

Same as Place of Death (e.g. Hospital, institution, private residence)
Enter the name of Hospital, Morgue Facility or Funeral Home where your loved one was transferred to following the death

Street Address *

City *

Province *

Postal Code

Rush Cremation *

Rush Cremation - For a surcharge of $720, cremation can take place within 2-3 business days of completion of documentation, compared to 5 to 7 business days for regular cremation.
Yes
No

Deceased Information [Show more]

Date of Birth *

Birthdate as shown on legal ID

Age *

Place of Birth City *

Enter "Unknown" if City name is not known

Province *

Country *

Personal Health Number

10 Digit code found on BC Services Card or Care Card

Social Insurance Number

9 Digit code found on SIN Card or certain tax documents such as a T4

Home Street Address *

Home City *

Home Province *

Home Postal Code *

Occupation *

Enter the primary occupation of the deceased, prior to retirement age. Example: Teacher, Self-employed, Homemaker

Kind of Business or Industry *

Enter the industry in which the deceased worked. Example: Education, Retail, Domestic

How Many Years

Select the approximate number of years worked in the profession

Coroner and Physician Information [Show more]

Is this a Coroners Case?

Yes
No

Coroner Case Number

Coroner Name

Coroner Contact Number

Name of Attending Physician

Telephone Number of Attending Physician

Pacemaker or Other Radio Active Device *

Yes
No

Deceased's Family [Show more]

Marital Status *

Last Name of Spouse

If married, widowed or separated, give full name of spouse; include maiden name if applicable

First and Middle Name of Spouse

If married, widowed or separated, give full name of spouse; include maiden name if applicable

Last Name of Deceased's Father

First and Middle Name of Deceased's Father

Father Place of Birth

Enter "Unknown" if Province name in not known

Maiden Name of Deceased's Mother

First and Middle Name of Deceased's Mother

Mother Place of Birth

Enter "Unknown" if Country name in not known

Executor Information [Show more]

Does The Deceased have a Will *

Yes
No
Unknown

Executor Last Name

Executor First and Middle Names

Executor Address

Executor City

Executor Postal Code

Executor Relationship

Example Spouse, Friend, Lawyer, etc

Executor Phone Number

Executor Cell Number

Executor Email Address

Legal Representation [Show more]

If there is no Will at the time of death, we must follow the order as outlined in the Cremation, Interment, Funeral Services Act of BC to determine who has the right to control disposition. For more details refer here.

Legal Representative Last Name

Legal Representative First and Middle Names

Legal Representative Address

Legal Representative City

Legal Representative Postal Code

Legal Representative Relationship

Legal Representative Phone Number

Legal Representative Cell Number

Legal Representative Email Address

Applicant Information [Show more]

Are You the Executor or Legal Representative *

Yes
No

Your Last Name *

Your First and Middle Names *

Your Relationship *

Your Phone Number *

Your Address

Your Email Address *

Attach/Upload [Show more]

Copy of The Will

If Born in Canada; Birth Certificate

The photo page of a Canadian Passport will do if the birth certificate can not be found

If Born Outside Canada; Canadian Citizenship or Permanent Residency Card

The photo page of a Canadian Passport will do if these items can not be found

Personal Health Number ID; such as a BC CareCard

SIN Card

A tax document showing the Social Insurance Number will do if the card can not be found

Recent Photo

For staff to use internally for identification purposes

Legal Representative ID

Such as a Driver's license

Choose a package [Show more]

For details, please visit our services page.

Select a package *

Simple Cremation - $1102
Cremation Package - $1405

Choose urn

If you chose 'Cremation Package', select an urn from the list below:
Cherry Urn
Natural Urn

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