Funeral Arrangement Information

*Contact Full Name

Please include Street Address, City, Province & Postal Code

*Contact Email

*Contact Phone

Contact Cell Phone

Contact Work Phone

Your Relationship to the Deceased (Ex. Spouse/Parent/Sibling)

Arrangement/Registration Information

*Deceased's First Name

*Deceased's Last Name

Deceased's Middle Name

Deceased's Full Address

Gender
Male Female

Date of Birth

Deceased's Birthplace, City, Province, Country

Date of Death

Deceased's Place of Death

Marital Status
Married Never Married Widowed Divorced

Name of Spouse (Maiden Name if Wife)

Social Insurance Number

Health Care Number

Drivers License Number

Usual Occupation

Kind of Business/Industry

Parent Information

Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.

Father's Full Legal Name

Father's Birthplace, City, Province, Country

Mother's Full Legal Name

Maiden (Last) Name

Mother's Birthplace, City, Province, Country

Step-Father's Full Legal Name

Step-Father's Birthplace, City, Province, Country

Step-Mother's Full Legal Name

Step-Mother's Birthplace, City, Province, Country

Cemetery Information

Disposition Preference
Burial Cremation Anotomical Study Undecided

Cemetery Name

Cemetery Location (City, Province, Country)

Cemetery Information

Church Name

Denomination

Church Address

Church Phone

Minister's Name

Minister's Phone

Family Information

Children (Oldest to Youngest with Spouse info. Ex. First (Spouse) Last)

Grandchildren (Oldest to Youngest with Spouse info. Ex. First (Spouse) Last)

Great Grandchildren (Oldest to Youngest with Spouse info. Ex. First (Spouse) Last)

Siblings Children (Oldest to Youngest with Spouse info. Ex. First (Spouse) Last). If siblings are deceased, please type "deceased" before the respected name.

Additional Information

Membership in Organizations, Clubs or Societies (Name and Contact Information)

People/Groups to Notify about Funeral Services (Name of Person/Group and Email Address)

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By submitting this form you are granting Foster and McGarvey Funeral Home permission to send you information from time to time announcing upcoming Estate Planning Seminars and to provide any new information as it becomes available. This will be solely from Foster and McGarvey Funeral Home, and you may have your address removed from our records at any time. Foster and McGarvey Funeral Home has a strict privacy policy in place: we will NEVER share your name and/or contact information outside of our firm. This is our promise to you . . .