Online Arrangement Form

For required fields, please put "Unknown" if you are not sure to be able to proceed with the arrangement.

Contact Person
Name*
First Last
Address*
Street Address City Province Postal Code
Email*
Phone*
Cell Phone
Home Phone
Relationship to Deceased*
Deceased Person Information
Name*
First Middle Last
Address*
Street Address City Province Postal Code
Sex*
Date of Death (DD/MM/YYYY)*
DD slash MM slash YYYY
Date of Birth (DD/MM/YYYY)*
DD slash MM slash YYYY
Birthplace: City, Province, Country*
Social Insurance Number
The SIN is required to complete the arrangements. If you don't feel comfortable entering the information here, we will call you by telephone to retrieve the SIN.
Marital Status*
Name of Spouse (maiden name, if wife)
Usual Occupation*
Kind of Business/Industry*
Parents
Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Father's Name*
First Middle Last
Mother's Name*
First Middle Last Maiden
Cemetery Information
Cemetery Name
Location City, Province of Cemetery
CAPTCHA

Contact Person