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ONLINE ARRANGEMENT IN PROGRESS

Do you want to make funeral prearrangements or arrangements following a death?*

Funeral Pre-Arrangement

Arrangements Following Death

Did the deceased person have a will?*

Yes

In the absence of a will, the next of kin has the right to make, change or cancel funeral arrangements. Below is a list, by legal order, of the people who can make arrangements for the funeral. (eg: if there is no surviving spouse, the children are responsible). If you are completing documents on behalf of the next of kin, please provide their contact details in the sections below.**

Executor or Executrix

Husband or wife

Children

Grandchildren

Great Grandchildren

Father or Mother

Brothers and Sisters

Grand Parents

Brother or Sister

Other

Are you the executor or executrix?*

Executor

Executrix

ONLINE ARRANGEMENT IN PROGRESS

INFORMATION ABOUT YOU
As the person authorized to carry out these arrangements, please complete the following forms. Guidance will be provided along the way to explain certain terms, should you require individual assistance at anytime please call us at (844) 526-9605.

Enter Your Full Name*

Your First Name

Middle Name

Your Middle Name

Last Name*

Your Last Name

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone Number*

Email Address*

Enter Email Confirm Email

INFORMATION ABOUT YOU
If you require one-on-one assistance at any time, please call us at (844) 526-9605.

Enter Your Full Name*

Your First Name

Middle Name

Your Middle Name

Last Name*

Your Last Name

Address

Street Address City Province Postal Code Country

Phone Number

Email Address

ONLINE ARRANGEMENT IN PROGRESS

BENEFICIARY INFORMATION:
If you require one-on-one assistance at any time, please call us at (844) 526-9605.

Full Name of the Beneficiary*

First Name

Middle Name

Last Name*

Last Name

Address*

Address City Province Postal code

Gender*

Male

Female

Other

Date of Birth*

MM slash DD slash YYYY

Place of birth*

ONLINE ARRANGEMENT IN PROGRESS

DEATH REGISTRATION FORM FOR THE CIVIL STATUS OFFICE
The information requested below helps us register the death with the Vital Statistics Agency. This form asks you to provide information on the parents of the deceased, their names at birth and place of birth, as well as information on the deceased (profession, residence, etc.).

Full Name of the Deceased*

First Name

Middle Name

Last Name*

Last Name

Home Address*

Apartment

City*

Postal code*

What is the gender of the deceased?*

Male

Female

Other

Place of Birth

Date of Birth*

MM slash DD slash YYYY

Date of Death*

MM slash DD slash YYYY

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Type of work done most of working life*

Type of business or industry that the deceased worked in most of working life*

Civil status of the deceased*

Spouse's First Name

Spouse's Maiden Name

Name of the Father of the Deceased

City & Province where Father was born

Name of the Mother of the Deceased

City & Province where Mother was born

Maiden name of the Mother of the deceased

How much does the person you are doing the arrangements for weight?*

Place of Death*

The online arrangement section of our website is not monitored 24 hours a day. If the death occurred at a residence or nursing home, please call us immediately at (844) 526-9605. (If selected Retirement Home, Home, Other)

Please indicate the name of the establishment or the address*

Is your loved one still at the above place of death?*

Yes

ONLINE ARRANGEMENT IN PROGRESS

MEDICAL TREATMENT AND HISTORY OF THE DISEASE

Does the person that you are doing the arrangements for have a pacemaker and/or other implanted medical devices?

Yes

Please list the implant here.

ONLINE ARRANGEMENT IN PROGRESS

CONFIRMATION OF IDENTITY

Confirmation of non-visual identity. Must be completed by next of kin or other legally authorized representative making the arrangements: we require a recent photo to upload below, along with any identifying marks to note (eg tattoo, scar). Please upload the most recent photo within the last 6 months.

Drop files here or

Max. file size: 128 MB, Max. files: 10.

ONLINE ARRANGEMENT COMPLETION

NO OPTION SERVICE	$1115.00
Included in our No Service Option price of $1115.00 are the following services:
Professional and personnel services	$575.00
Online Professional consultation including, but not limited to, expert advice on options to meet your needs. Our services also includes an online obituary on our website at no additional cost.
Registration and documentation	$50.00
Completion and filling of all documents necessary to carry out the services and supplies requested, including, but not limited to, death registration, burial permit, coroner's certificate for cremation & provision of Proof of Death Certificates.
Basic preparation of remains	$100.00
Sheltering of remains	$75.00
Transfer to/from crematory	$75.00
Transfer of remains from place of death to funeral home (within 50 km)	$145.00
Additional distance will be charged at $2.25 per kilometre.
Cardboard cremation container	$95.00

* Final price does not include taxes or cash disbursements

HST 13%
Registration of Death $30 - $55
Coroner in Ontario $75
Crematorium $790-$825 (HST Applicable)

Choose Service*

Submit request for a No Option Service

Continue to Add Optional Services

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Basic Service Price*

1. ADDITIONAL SERVICES
Optional professional services / documents, available to meet your needs.

1. Estate Fraud Protection- The Estate Fraud Protection Program offers you a better, easier way to protect your family against identity theft. Upon the death of a loved one, we will immediately notify all necessary government and credit reporting agencies on your behalf. Reporting procedures differ from agency to agency, so we work directly with each to make sure their policies are followed precisely. You can be confident that the right people have been notified in the right way, and that your loved one’s identity and their estate is well protected against fraud.

Would you like the Estate Fraud Protection Service for a cost of $135.00?*

Estate Fraud Protection

Estate Fraud Protection Service Declined

2. Digital scan of fingerprint for future purchase of commemorative products -Digital scan of one or more fingerprints, handprints and/or footprints from the Decedent prior to final disposition and are to be used exclusively for purposes of a commemorative keepsake(s) and for no other purpose. For example: Cherish memories with a sterling silver, round, rimmed pendant featuring your loved one's thumbprint or an 18' sterling silver curb style chain.

Would you like us to scan a fingerprint sample at no additional cost for future purchase of commemorative products ?*

Please scan a fingerprint sample for future purchase of commemorative products

Fingerprint Sample Declined

2. CHOOSE A CREMATION CONTAINER
The No Service Option includes a cardboard cremation container. If you would like to upgrade the container, please select an option below

CHOOSE A CREMATION CONTAINER

Cardboard Cremation Container<br>Price : Included in simple cremation package

Cardboard Cremation Container
Price : Included in simple cremation package

Particle Board Cremation Container : Price: 0

Particle Board Cremation Container : Price: $350

3. CHOICE OF URNS
Cremated remains will be returned in a temporary urn at no additional cost. Cremation urns contain approximately 200 to 220 cubic inches of cremated remains. These urns are considered normal size. Available in different shapes, materials and colors, the selection of a crematorium urn is a personal and individual choice.

CHOICE OF URNS

NATURAL BOX : Price: $ 200.00

LEATHER CYLINDER : Price: $ 195.00

SAND RECTANGLE : Price: $ 510.00

BOIS SILVER MAPLE : Price: $ 895.00

MOMENTS AZALEA URN AND FRAME KEEPSAKE : Price: $ 690.00

CHERRY CHEST : Price: $595.00

MOONLIGHT BLUE VASE : Price: $ 460.00

DOVE VASE : Price: $ 495.00

MOTHER OF PEARL ELITE : Price: $ 595.00

SERENITY TREE : Price: $ 895.00

SERENITY PLAIN : Price: $ 895.00

LAUREL MIDNIGHT : Price: $ 795.00

LAUREL WHITE PEARL : Price: $ 795.00

LIVING URN: Price: $ 595.00

OMEGA VASE : Price: $ 545.00

4. CHOICE OF REMEMBRANCE
We also offer a selection of other urns and souvenirs. Keepsake urns are designed to hold a small portion of the cremated remains. In some cases, you may want to purchase multiple keepsake urns for family members who want to keep some of the total cremated remains while scattering or discontinuing the balance.

MOONLIGHT HEART KEEPSAKE

MOONLIGHT HEART KEEPSAKE : Price : $145.00

Would you like additional memories for Moonlight Hearth Keepsake?

How many would you like?

Additional memories in the moonlight

DOVE MINI KEEPSAKE

DOVE MINI KEEPSAKE : Price : $145.00

Would you like additional memories for Dove Mini Keepsake?

How many would you like?

Extra Dove Mini Souvenirs

LAUREL WHITE PEARL KEEPSAKE

LAUREL WHITE PEARL KEEPSAKE : Price : $145.00

Would you like additional memories for Laurel White Pearl Keepsake?

How many would you like?

Mini souvenirs extra-gland

STAR BRIGHT MINI KEEPSAKE

STAR BRIGHT MINI KEEPSAKE : Price : $155.00

Would you like additional memories for Star Bright Mini Keepsake?

How many would you like?

Mini Star Bright Memories

MIDNIGHT PEWTER HEART

MIDNIGHT PEWTER HEART : Price : $155.00

Would you like additional memories for Midnight Pewter Heart?

How many would you like?

Extra Midnight Pewter Heart Memories

After cremation
Once the cremation is complete, you have the option of having the cremated remains, death certificates and other necessary documents returned to you by mail, home delivery or collection at our office.

How would you like the cremated remains returned?

Collect cremated remains at the closest affiliate location

Returned via Registered Mail ($100)

Please take a moment to review your arrangements.
This total does not include HST and will be applied to the total of services and goods. A contract (along with other documents) will be sent to you by email for your electronic signature, with the total balance due, before the payment is processed.

Final price does not include taxes or cash disbursements

HST 13%
Registration of Death $30 - $55
Coroner in Ontario $75
Crematorium $790-$825 (HST Applicable)

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No Option Service

Online Arrangement

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ONLINE ARRANGEMENT COMPLETION

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Modest Cremation

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